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SIGNATURE SURGERY CENTER LLC
NPI 1922698380
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Active since January 20, 2021CLIA 29D2198053 · Waiver
6930 S CIMARRON RD # 110, LAS VEGAS, NV 89113(702) 780-4222(702) 425-1241 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Signature Surgery Center Llc NPPES

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

SIGNATURE SURGERY CENTER LLC (NPI 1922698380), doing business as Signature Surgery Center, is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Tereza Fugitt, Nurse Administrator, as its authorized official.

NPPES Registry Identity

NPI1922698380
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSIGNATURE SURGERY CENTER LLC
Location Address6930 S CIMARRON RD # 110Las Vegas, NV 89113-2135
Mailing Address6930 S Cimarron Rd # 110Las Vegas, NV 89113-2135 · (702) 780-4222 · Fax (702) 425-1241
Phone(702) 780-4222
Fax(702) 425-1241
Organization SubpartNo
Authorized OfficialTereza FugittNurse Administrator · (702) 780-4222
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1922698380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6930 S CIMARRON RD # 110, Las Vegas, NV 89113
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Other Names 1

Doing Business AsSignature 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 29D2198053

Signature Surgery Center LLC · Las Vegas, NV
Active · expires Oct 28, 2026
CLIA Number29D2198053
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorHimansu R. Shah
Laboratory Phone(702) 780-4222
Laboratory LocationSignature Surgery Center LLC6930 S Cimarron Rd Ste 110A, Las Vegas, NV 89113
CLIA data matches this NPI record on: 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 Signature Surgery Center LLC's NPI number?

The NPI number for Signature Surgery Center LLC is 1922698380. It was assigned to this organization in the NPPES registry on January 20, 2021. The provider is doing business as Signature Surgery Center.

Where is Signature Surgery Center LLC located?

Signature Surgery Center LLC is located at 6930 S Cimarron Rd # 110, Las Vegas, NV 89113. The listed phone number is (702) 780-4222.

What is Signature Surgery Center LLC's specialty?

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

Does Signature Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2198053) is associated with this NPI, valid through October 28, 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 Signature Surgery Center LLC was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.