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ALBA FAMILY CLINIC INC NPI 1902568132


NPI Information

NPI: 1902568132
Provider Name: ALBA FAMILY CLINIC INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 29D2254334

Address:
2560 S MARYLAND PKWY STE 12
LAS VEGAS, NV
ZIP 89109
Phone: (702) 444-7524
Get Directions

ALBA FAMILY CLINIC INC is a general practice in Las Vegas, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ALBA FAMILY CLINIC INC NPI is 1902568132. The provider is registered as an organization entity type.

The provider's business location address is:

2560 S MARYLAND PKWY STE 12
LAS VEGAS, NV
ZIP 89109-672
Phone: (702) 444-7524

The provider's authorized official is Yisel Viamontes-marrero .
The authorized official title is President and has the following contact phone number (702) 444-7524.

The CLIA number assigned to this NPI record is 29D2254334 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.


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
1261Q00000XClinic/CenterNo
2208D00000XGeneral PracticeYes

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: 4/28/2024

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