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SUMMIT SURGICAL CENTER LLC
NPI 1942096482
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Active since April 18, 2025CLIA 29D2331723 · Waiver
3820 S HUALAPAI WAY STE 100, LAS VEGAS, NV 89147(702) 788-9154(702) 788-9154 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Surgical Center Llc NPPES

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

SUMMIT SURGICAL CENTER LLC (NPI 1942096482), doing business as Rock Springs Surgical Center Llc, is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Stephanie Holmstrom, Administrator, as its authorized official.

NPPES Registry Identity

NPI1942096482
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUMMIT SURGICAL CENTER LLC
Location Address3820 S HUALAPAI WAY STE 100Las Vegas, NV 89147-5733
Mailing Address3820 S Hualapai Way Ste 100Las Vegas, NV 89147-5733 · (702) 803-2750 · Fax (702) 788-9154
Phone(702) 788-9154
Fax(702) 788-9154
Organization SubpartNo
Authorized OfficialStephanie HolmstromAdministrator · (702) 803-2750
Enumeration DateApril 18, 2025
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1942096482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3820 S HUALAPAI WAY STE 100, Las Vegas, NV 89147
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Other Names 1

Former Legal Business NameRock Springs Surgical Center Llc

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 29D2331723

Summit Surgical Center · Las Vegas, NV
Active · expires Oct 6, 2027
CLIA Number29D2331723
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorMark Chmiela
Laboratory Phone(702) 788-9154
Laboratory LocationSummit Surgical Center3820 S Hualapai Way Ste 100, Las Vegas, NV 89147
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 Summit Surgical Center LLC's NPI number?

The NPI number for Summit Surgical Center LLC is 1942096482. It was assigned to this organization in the NPPES registry on April 18, 2025. The provider was formerly known as Rock Springs Surgical Center LLC.

Where is Summit Surgical Center LLC located?

Summit Surgical Center LLC is located at 3820 S Hualapai Way Ste 100, Las Vegas, NV 89147. The listed phone number is (702) 788-9154.

What is Summit Surgical Center LLC's specialty?

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

Does Summit Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2331723) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summit Surgical Center LLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.