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CENTENNIAL SURGICAL CENTER, LLC
NPI 1427245257
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Active since September 25, 2007CLIA Certified · 3 labs
4454 N DECATUR BLVD, LAS VEGAS, NV 89130(702) 839-1203(702) 839-1301 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centennial Surgical Center, Llc NPPES

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

CENTENNIAL SURGICAL CENTER, LLC (NPI 1427245257) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since September 2007. The organization holds 3 active CLIA laboratory certificates and lists David Roy Lanzkowsky, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427245257
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCENTENNIAL SURGICAL CENTER, LLC
Location Address4454 N DECATUR BLVDLas Vegas, NV 89130-5286
Mailing Address4454 N Decatur BlvdLas Vegas, NV 89130-5286 · (702) 839-1203 · Fax (702) 839-1301
Phone(702) 839-1203
Fax(702) 839-1301
Organization SubpartNo
Authorized OfficialDavid Roy LanzkowskyCeo · (702) 839-1203
Enumeration DateSeptember 25, 2007
Last NPPES UpdateOctober 31, 2007
✔ NPI 1427245257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in NV · 3563ASC-6
4454 N DECATUR BLVD, Las Vegas, NV 89130
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 3

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 29D1009537

Centennial Surgery Center · Las Vegas, NV
Active · expires Feb 17, 2027
CLIA Number29D1009537
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorDavid Roy Lanzkowsky
Laboratory Phone(702) 990-4770
Laboratory LocationCentennial Surgery Center4454 N Decatur Blvd, Las Vegas, NV 89130
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2331439

Centennial Surgery Center · Las Vegas, NV
Active · expires Sep 30, 2027
CLIA Number29D2331439
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDavid Roy Lanzkowsky
Laboratory Phone(702) 839-1203
Laboratory LocationCentennial Surgery Center4050 East Russell Ave Ste 200, Las Vegas, NV 89120
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2314226

Albuquerque Surgical Partners LLC Dba Centennial Surgery Center LLC · Albuquerque, NM
Active · expires Nov 14, 2026
CLIA Number32D2314226
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorDavid R. Lanzkowsky
Laboratory Phone(702) 839-1203
Laboratory LocationAlbuquerque Surgical Partners LLC Dba Centennial Surgery Center LLC7800 East Constitution Avenue, Albuquerque, NM 87110
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

CENTENNIAL MEDICAL GROUP LLP
Pain Medicine (Interventional Pain Medicine)
4454 N DECATUR BLVD
LAS VEGAS, NV 89130
Clark County (702) 507-0996
DAVID R LANZKOWSKY
Anesthesiology (Pain Medicine)
4454 N DECATUR BLVD
LAS VEGAS, NV 89130
Clark County (702) 507-0996
DAVID EARL ALVARADO MD
Pain Medicine (Pain Medicine)
4454 N DECATUR BLVD
LAS VEGAS, NV 89130
Clark County (702) 507-0983
DR. SUDHIR S KHEMKA MD
Anesthesiology (Pain Medicine)
4454 N DECATUR BLVD
LAS VEGAS, NV 89130
Clark County (702) 880-4193
ANNMARIE LOBIONDO CRNA
Nurse Anesthetist, Certified Registered
4454 N DECATUR BLVD
LAS VEGAS, NV 89130
Clark County (702) 839-1203
WILLIAM H BAUMGARTL MD
Pain Medicine (Interventional Pain Medicine)
4454 N DECATUR BLVD
LAS VEGAS, NV 89130
Clark County (702) 839-1203
KRISTI PIKYAVIT FNP
Nurse Practitioner (Family)
4454 N DECATUR BLVD
LAS VEGAS, NV 89130
Clark County (702) 213-4848
JAMES THOMAS M.D.
Orthopaedic Surgery
4454 N DECATUR BLVD
LAS VEGAS, NV 89130
Clark County (702) 507-0996

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 Centennial Surgical Center, LLC's NPI number?

The NPI number for Centennial Surgical Center, LLC is 1427245257. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Centennial Surgical Center, LLC located?

Centennial Surgical Center, LLC is located at 4454 N Decatur Blvd, Las Vegas, NV 89130. The listed phone number is (702) 839-1203.

What is Centennial Surgical Center, LLC's specialty?

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

Does Centennial Surgical Center, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Centennial Surgical Center, LLC was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.