Healther Providers Data Logo

29D1082866 CLIA NUMBER - INTERMOUNTAIN HEALTHCARE - LA CANADA ENDOCRINOLOGY

Laboratory Demographics

CLIA Number: 29D1082866

Facility Name: INTERMOUNTAIN HEALTHCARE - LA CANADA ENDOCRINOLOGY

Facility Address:
3131 LA CANADA ST STE 140
LAS VEGAS, NV
ZIP 89169
Get Directions

Facility Phone Number: 702 862-8226

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1194153478

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 29D1082866
LAB Type Physician Office
Facility Name INTERMOUNTAIN HEALTHCARE - LA CANADA ENDOCRINOLOGY
Street 3131 LA CANADA ST STE 140
City LAS VEGAS
State NV
ZIP 89169
Phone 702 862-8226
CertificateType 4
CertificateEffectiveDate 4/1/2023
CertificateExpirationDate 3/31/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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