Las Vegas Laboratory LLC
Clinical Medical Laboratory in Las Vegas, NV. Organization (NPI-2).
NPI number1760102040
StatusActive
Last updated in NPPESNov 3, 2026
Details
- NPI
- 1760102040
- Entity type
- Organization (NPI-2)
- Legal business name
- Las Vegas Laboratory LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- 1st American Diagnostic Laboratory (Doing Business As)
Practice location
4570 S Eastern Ave Ste 23Las Vegas, NV 89119-6183
Phone 702-629-2517 · Fax 702-549-8689
Mailing address
4570 S Eastern Ave Ste 23Las Vegas, NV 89119-6183
Phone 702-629-2517 · Fax 702-549-8689
Authorized official
Louise Mourielle Hernandez
Managing Member
7026292517
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