Organization
SURGIBLUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA LEE ROTH REGISTERED NURSE (PRESIDENT)
(408) 761-5847
Entity
Organization
Contact information
Practice address
2529 CHARLEVILLE AVE UNIT 103, LAS VEGAS, NV 89106-1525
(140) 876-1584
Mailing address
2529 CHARLEVILLE AVE UNIT 103, LAS VEGAS, NV 89106-1525
(140) 876-1584
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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