# THE SPARKS NV ENDOSCOPY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Los Altos Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447310651
- **Authorized official:** MR. KEN P MCDONALD (CHIEF MANAGER OF LLC)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 1525 LOS ALTOS PARKWAY, SPANISH SPRINGS, SPARKS, NV 89436
- **Practice address phone:** (615) 240-3850
- **Mailing address:** 1525 LOS ALTOS PARKWAY, SPANISH SPRINGS, SPARKS, NV 89436

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020