FORT APACHE SURGERY CENTER
NPI 1780346346
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Q: What is Fort Apache Surgery Center, LLC's NPI number?

The NPI number for Fort Apache Surgery Center, LLC is 1780346346. It was assigned to this organization in the NPPES registry on October 12, 2021. The provider is doing business as Fort Apache Surgery Center.

Q: What is Fort Apache Surgery Center, LLC's specialty?

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

Active since October 12, 2021CLIA 29D2269760 · Waiver

6064 S FORT APACHE, SUITE 110, LAS VEGAS, NV 89148(702) 940-8007 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2022, Oct 12, 2021 (2 updates tracked since 2021).

On this page

About Fort Apache Surgery Center NPPES

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

FORT APACHE SURGERY CENTER (NPI 1780346346) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Pete Bekas, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780346346

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameFORT APACHE SURGERY CENTER, LLC

Location Address6064 S FORT APACHE, SUITE 110Las Vegas, NV 89148-8914

Mailing Address6064 S Fort Apache Rd Ste 110Las Vegas, NV 89148-4534 · (702) 940-8050

Phone(702) 940-8007

Organization SubpartNo

Authorized OfficialPete BekasAdministrator · (702) 940-8007

Enumeration DateOctober 12, 2021

Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1780346346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

6064 S FORT APACHE, Las Vegas, NV 89148

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Other Names 1

Doing Business AsFort Apache Surgery Center

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 29D2269760

Fort Apache Surgery Center, LLC · Las Vegas, NV

Active · expires Oct 2, 2026

CLIA Number29D2269760

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 3, 2024

Certificate Expiration DateOctober 2, 2026

Laboratory DirectorAndrew M. Hall

Laboratory Phone(702) 940-8050

Laboratory LocationFort Apache Surgery Center, LLC6064 S Fort Apache Road, Suite 110, Las Vegas, NV 89148

CLIA data matches this NPI record on: Address Name Phone

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

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 Fort Apache Surgery Center, LLC's NPI number?

The NPI number for Fort Apache Surgery Center, LLC is 1780346346. It was assigned to this organization in the NPPES registry on October 12, 2021. The provider is doing business as Fort Apache Surgery Center.

Where is Fort Apache Surgery Center, LLC located?

Fort Apache Surgery Center, LLC is located at 6064 S Fort Apache Suite 110, Las Vegas, NV 89148. The listed phone number is (702) 940-8007.

What is Fort Apache Surgery Center, LLC's specialty?

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

Does Fort Apache Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2269760) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Apache Surgery Center, LLC was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.