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CALDWELL GENOMICARE PLLC NPI 1720408081


NPI Information

NPI: 1720408081
Provider Name: CALDWELL GENOMICARE PLLC

Doing Business As: GENOMICARE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5115 S DURANGO DR
LAS VEGAS, NV
ZIP 89113
Phone: (702) 478-2524
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CALDWELL GENOMICARE PLLC is a multi-specialty clinic center in Las Vegas, NV. CALDWELL GENOMICARE PLLC NPI is 1720408081. The provider is registered as an organization entity type.
The provider Is Doing Business As Genomicare.

The provider's business location address is:

5115 S DURANGO DR
LAS VEGAS, NV
ZIP 89113-189
Phone: (702) 478-2524

The provider's authorized official is Barbara C Caldwell .
The authorized official title is Director and has the following contact phone number (702) 478-2524.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 4/24/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyNV20141102535NEVADAYes

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: 5/5/2024

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