OUTPATIENT SURGICAL CENTER OF FLAMINGO
NPI 1598902199
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Q: What is Specialty Surgery Center Of Pecos, LLC's specialty?

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

Active since January 19, 2009CLIA 29D0989719 · Waiver

1569 E FLAMINGO RD, LAS VEGAS, NV 89119(702) 370-7149 Get Directions Write a Review

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Outpatient Surgical Center Of Flamingo NPPES

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

OUTPATIENT SURGICAL CENTER OF FLAMINGO (NPI 1598902199) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists Craig Foreman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1598902199

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSPECIALTY SURGERY CENTER OF PECOS, LLC

Location Address1569 E FLAMINGO RDLas Vegas, NV 89119-5277

Mailing Address1569 E Flamingo RdLas Vegas, NV 89119-5277 · (702) 370-7149

Phone(702) 370-7149

Organization SubpartNo

Authorized OfficialCraig ForemanAdministrator · (702) 370-7149

Enumeration DateJanuary 19, 2009

Last NPPES UpdateMay 7, 2009

✔ NPI 1598902199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1569 E FLAMINGO RD, Las Vegas, NV 89119

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Other Names 1

Doing Business AsOutpatient Surgical Center Of Flamingo

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 29D0989719

Specialty Surgery Center · Las Vegas, NV

Active · expires Aug 2, 2027

CLIA Number29D0989719

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 3, 2025

Certificate Expiration DateAugust 2, 2027

Laboratory DirectorDavid R. Coon

Laboratory Phone(702) 933-3999

Laboratory LocationSpecialty Surgery Center7250 Cathedral Rock Dr, Las Vegas, NV 89128

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

ANTONETTE VERGARA APRN

Registered Nurse (Pain Management)