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29D2028029 CLIA NUMBER - HUMANITAS PRIMARY CARE ESTEBAN HENNINGS PC

Laboratory Demographics

CLIA Number: 29D2028029

Facility Name: HUMANITAS PRIMARY CARE ESTEBAN HENNINGS PC

Facility Address:
3201 S MARYLAND PKWY STE 512
LAS VEGAS, NV
ZIP 89109
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Facility Phone Number: 702 685-7700

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1033352190

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 29D2028029
LAB Type Physician Office
Facility Name HUMANITAS PRIMARY CARE ESTEBAN HENNINGS PC
Street 3201 S MARYLAND PKWY STE 512
City LAS VEGAS
State NV
ZIP 89109
Phone 702 685-7700
CertificateType 4
CertificateEffectiveDate 8/8/2023
CertificateExpirationDate 8/7/2025
FacilityType Waiver

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