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29D1072344 CLIA NUMBER - DESERT PREVENTATIVE & DIAGNOSTIC MEDICINE

Laboratory Demographics

CLIA Number: 29D1072344

Facility Name: DESERT PREVENTATIVE & DIAGNOSTIC MEDICINE

Facility Address:
10001 S EASTERN AVE STE 402
HENDERSON, NV
ZIP 89052
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Facility Phone Number: 702 617-8684

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1053476010

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 29D1072344
LAB Type Physician Office
Facility Name DESERT PREVENTATIVE & DIAGNOSTIC MEDICINE
Street 10001 S EASTERN AVE STE 402
City HENDERSON
State NV
ZIP 89052
Phone 702 617-8684
CertificateType 4
CertificateEffectiveDate 8/14/2023
CertificateExpirationDate 8/13/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024