| NPI | 1215315973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BUSS Revenue Cycle Manager 702-759-0636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NV 3828PHL-7) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2021-10-01 |