Organization · NPI-2

1staid Care LLC

Clinic/Center, Urgent Care · Las Vegas, NV

NPI number1134745722

StatusActive

Last updated in NPPESJun 19, 2020

Details

NPI: 1134745722
Entity type: Organization (NPI-2)
Legal business name: 1staid Care LLC
Organization subpart: No
Enumeration date: Jun 19, 2020
Certification date: Jun 19, 2020
Last updated: Jun 19, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QU0200X	Clinic/Center, Urgent Care	–	–	Yes
207Q00000X	Family Medicine	–	–

Practice location

7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088

Phone 702-761-6457

Mailing address

7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088

Phone 702-761-6457

Authorized official

Stanley Kidiavayi
Authorized Official
7027616457

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