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MEDI WEIGHT LOSS CLINICS OF NEVADA LLC NPI 1518310804


NPI Information

NPI: 1518310804
Provider Name: MEDI WEIGHT LOSS CLINICS OF NEVADA, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 29D2003023

Address:
2370 W HORIZON RIDGE PKWY
SUITE 100
HENDERSON, NV
ZIP 89052
Phone: (702) 897-3800
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MEDI WEIGHT LOSS CLINICS OF NEVADA, LLC is a family medicine in Henderson, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDI WEIGHT LOSS CLINICS OF NEVADA, LLC NPI is 1518310804. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2370 W HORIZON RIDGE PKWY
SUITE 100
HENDERSON, NV
ZIP 89052-077
Phone: (702) 897-3800

The provider's authorized official is Randall Miller .
The authorized official title is Managing Member and has the following contact phone number (702) 897-3800.

The CLIA number assigned to this NPI record is 29D2003023 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2016 and was last updated on 7/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine9720NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11184678336OTHERNEVADANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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