# SURGERY CENTER OF BLUE VALLEY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104993385
- **Authorized official:** DR. DAVID B LAHA DPM (MEDICAL DIRECTOR)
- **Authorized official phone:** (913) 338-4440

## Contact information

- **Practice address:** 7230 WEST 129TH STREET, OVERLAND PARK, KS 66213-2624
- **Practice address phone:** (913) 338-4440
- **Practice address fax:** (913) 338-1712
- **Mailing address:** 7230 WEST 129TH STREET, OVERLAND PARK, KS 66213-2624
- **Mailing address phone:** (913) 338-4440
- **Mailing address fax:** (913) 338-1712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 04/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 91361018 | BCBS | — |