OrganizationActive
Medical Development Company of Nevada
NPI 1053866434 · Ambulatory Surgical Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1053866434
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Hanshew, Business Manager(727) 868-9563
- License
- 8701-ASC-0 (NV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
10195 W Twain Ave
Suite a
Las Vegas, NV 89147-6726
Phone: (727) 868-9563
Fax: (727) 869-6909
Approximate (ZIP-level) locationGet directions
Mailing address
7315 Hudson Ave
Hudson, FL 34667-1158
Registry dates
- Enumerated
- 2016-08-16
- Last updated
- 2017-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.