29D2067169 CLIA NUMBER - NEM MEDICAL CENTER-S DECATUR

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Laboratory Demographics

CLIA Number: 29D2067169

Facility Name: NEM MEDICAL CENTER-S DECATUR

Facility Address:
939 S DECATUR
LAS VEGAS, NV
ZIP 89107
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Facility Phone Number: 702 473-9600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669810206

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	29D2067169
LAB Type	Physician Office
Facility Name	NEM MEDICAL CENTER-S DECATUR
Street	939 S DECATUR
City	LAS VEGAS
State	NV
ZIP	89107
Phone	702 473-9600
CertificateType	4
CertificateEffectiveDate	10/9/2023
CertificateExpirationDate	10/8/2025
FacilityType	Waiver

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