# SOUTHWEST LITHO

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

## Provider details

- **NPI number:** 1194272187
- **Authorized official:** MR. DANIEL J CONLEY (PRESIDENT)
- **Authorized official phone:** (239) 260-3137

## Contact information

- **Practice address:** 9300 W SUNSET RD, LAS VEGAS, NV 89148-4844
- **Practice address phone:** (239) 260-3136
- **Practice address fax:** (855) 335-4846
- **Mailing address:** 9010 STRADA STELL CT STE 103, NAPLES, FL 34109-4425
- **Mailing address phone:** (239) 260-3136
- **Mailing address fax:** (855) 335-4846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QL0400X | Lithotripsy Clinic/Center | NV20151482876 | NV | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 09/07/2016