MOUNTAIN WEST SURGERY CENTER LLC
NPI 1306441670
Clinic/Center - Ambulatory Surgical in El Paso, TX

Active since December 03, 2020CLIA 45D2074808 · Waiver
3909 N MESA ST, EL PASO, TX 79902(214) 417-9650 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 17, 2024, Dec 3, 2020 (2 updates tracked since 2020).

About Mountain West Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN WEST SURGERY CENTER LLC (NPI 1306441670) is a healthcare organization registered as an ambulatory surgical in El Paso, Texas and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Bratislav Velimirovic, Manager, as its authorized official.

NPPES Registry Identity

NPI1306441670
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMOUNTAIN WEST SURGERY CENTER LLC
Location Address3909 N MESA STEl Paso, TX 79902-1501
Mailing Address6204 Constellation DrEl Paso, TX 79912-3304 · (917) 549-7710
Organization SubpartNo
Authorized OfficialBratislav VelimirovicManager · (915) 532-2222
Enumeration DateDecember 3, 2020
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
NPI 1306441670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3909 N MESA ST, El Paso, TX 79902

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2074808

Mountain Weststar Surgical Center LLC · El Paso, TX
Active · expires Mar 16, 2028
CLIA Number45D2074808
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorDr Keith Johnson
Laboratory Phone(915) 532-2222
Laboratory LocationMountain Weststar Surgical Center LLC3909 N Mesa Street, Suite 100, El Paso, TX 79902
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
3909 N MESA ST
EL PASO, TX 79902
Clinic/Center (Ambulatory Surgical)
3909 N MESA ST
EL PASO, TX 79902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain West Surgery Center LLC's NPI number?

The NPI number for Mountain West Surgery Center LLC is 1306441670. It was assigned to this organization in the NPPES registry on December 3, 2020.

Where is Mountain West Surgery Center LLC located?

Mountain West Surgery Center LLC is located at 3909 N Mesa St, El Paso, TX 79902. The listed phone number is (214) 417-9650.

What is Mountain West Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mountain West Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2074808) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain West Surgery Center LLC was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.