# ENDOSCOPY CENTER OF SOUTHERN NEVADA, LLC

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

## Provider details

- **NPI number:** 1780678383
- **Authorized official:** DR. DIPAK DESAI M.D. (PRESIDENT/MEMBER)
- **Authorized official phone:** (702) 382-8101

## Contact information

- **Practice address:** 700 SHADOW LN, SUITE \#165A, LAS VEGAS, NV 89106-4126
- **Practice address phone:** (702) 380-0809
- **Practice address fax:** (702) 382-4641
- **Mailing address:** 700 SHADOW LN, SUITE \#165B, LAS VEGAS, NV 89106-4126
- **Mailing address phone:** (702) 380-0809
- **Mailing address fax:** (702) 382-4641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 472ASC9 | NV | Yes |

## Other

- **Enumeration date:** 09/09/2005
- **Last updated:** 08/22/2020