# LV SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1225414246
- **Authorized official:** NOEL FAJARDO MD (PRESIDENT)
- **Authorized official phone:** (702) 855-0550

## Contact information

- **Practice address:** 7315 S. PECOS RD., SUITE 103, LAS VEGAS, NV 89120
- **Practice address phone:** (702) 855-0550
- **Practice address fax:** (702) 855-0650
- **Mailing address:** 7315 S PECOS RD, SUITE 103, LAS VEGAS, NV 89120-3768

## Taxonomy

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

## Other

- **Enumeration date:** 07/31/2015
- **Last updated:** 11/02/2016
