CENTENNIAL SURGERY CENTER, LLC – NPI #1922180439
Clinic/Center

CENTENNIAL SURGERY CENTER, LLC is an AHC clinic located in LAS VEGAS, NV. NPPES has assigned the NPI number 1922180439 to CENTENNIAL SURGERY CENTER, LLC on October 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTENNIAL SURGERY CENTER, LLC” is a dba name, the actual legal business name for this organization is DL-JT MANAGEMENT SERVICES, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 19 years ago on Sep 27, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTENNIAL SURGERY CENTER, LLC below.

NPI Profile for
DL-JT MANAGEMENT SERVICES, LLC

NPI Number
1922180439
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DL-JT MANAGEMENT SERVICES, LLC
Doing Business As (dba): CENTENNIAL SURGERY CENTER, LLC
Primary location
4454 N DECATUR BLVD
LAS VEGAS, NV 89130-5286
Phone: (702) 507-0996 Fax: (702) 507-0992
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID LANZKOWSKY
OWNER
Phone: (702) 839-1203
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.