# CENTENNIAL SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1427245257
- **Authorized official:** DR. DAVID ROY LANZKOWSKY M. D. (CEO)
- **Authorized official phone:** (702) 839-1203

## Contact information

- **Practice address:** 4454 N DECATUR BLVD, LAS VEGAS, NV 89130-5286
- **Practice address phone:** (702) 839-1203
- **Practice address fax:** (702) 839-1301
- **Mailing address:** 4454 N DECATUR BLVD, LAS VEGAS, NV 89130-5286
- **Mailing address phone:** (702) 839-1203
- **Mailing address fax:** (702) 839-1301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 3563ASC-6 | NV | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 10/31/2007