Infertility Laboratories Of Las Vegas, LLC
Clinical Medical Laboratory in Las Vegas, NV. Organization (NPI-2).
NPI number1477919082
StatusActive
Last updated in NPPESSep 13, 2021
Details
- NPI
- 1477919082
- Entity type
- Organization (NPI-2)
- Legal business name
- Infertility Laboratories Of Las Vegas, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 12, 2016
- Certification date
- Sep 13, 2021
- Last updated
- Sep 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | 2173REG-12 | NV |
Practice location
8851 West Sahara Ave, Suite 100Las Vegas, NV 89117
Phone 818-858-1080
Mailing address
15821 Ventura Blvd, Suite 625Encino, CA 91436
Phone 818-858-1082
Authorized official
Goldie Gupta
Cfo
6305367738
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