Provider Demographics
NPI:1386890606
Name:CENTER FOR SURGICAL INTERVENTION LLC
Entity type:Organization
Organization Name:CENTER FOR SURGICAL INTERVENTION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEMPER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-562-3039
Mailing Address - Street 1:9811 W. CHARLESTON
Mailing Address - Street 2:SUITE #2-389
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117
Mailing Address - Country:US
Mailing Address - Phone:702-562-3039
Mailing Address - Fax:702-562-6928
Practice Address - Street 1:5950 S. DURANGO DR.
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113
Practice Address - Country:US
Practice Address - Phone:702-562-3039
Practice Address - Fax:702-562-6928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5447ASC-0261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV84795OtherAAAHC