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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Ambulatory Surgical
CLIA Number: 32D2314226
CLIA Cert. Type: Ambulatory Surgery Center
CLIA Exp. Date: 11-14-2026

About CENTENNIAL SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Centennial Surgical Center, Llc, a provider established in Las Vegas, Nevada operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1427245257 assigned on September 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 3563ASC-6 (NV). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. David Roy Lanzkowsky M. D. (Ceo)

NPI: 1427245257 Verify this NPI
Provider Name: CENTENNIAL SURGICAL CENTER, LLC
Entity Type: Organization
Location Address: 4454 N DECATUR BLVD LAS VEGAS, NV 89130
Location Phone: (702) 839-1203
Location Fax: (702) 839-1301
Mailing Address: 4454 N DECATUR BLVD LAS VEGAS, NV 89130
Mailing Phone: (702) 839-1203
Mailing Fax: (702) 839-1301
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-25-2007
Last Update Date: 10-31-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Ambulatory Surgical
Taxonomy Code: 261QA1903X
Type: Ambulatory Health Care Facilities
License No.: 3563ASC-6
License State: NV

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. DAVID ROY LANZKOWSKY M. D.
Authorized Official Title: CEO
Authorized Official Phone: (702) 839-1203

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 32D2314226
Facility Type: Ambulatory Surgery Center
Certificate Effective Date: November 15, 2024
Certificate Expiration Date: November 14, 2026
Laboratory Director: DAVID R. LANZKOWSKY
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Centennial Surgical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.