29D2226314 CLIA NUMBER - MARATHON HEALTH AT S JONES BLVD

Laboratory Demographics

CLIA Number: 29D2226314

Facility Name: MARATHON HEALTH AT S JONES BLVD

Facility Address:
7399 S JONES BLVD STE 3
LAS VEGAS, NV
ZIP 89139
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Facility Phone Number: 802 857-0400

Facility Type: Other - ONSITE HEALTH CENTER

Certificate Type: Waiver

NPI Number: 1932755956

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	29D2226314
LAB Type	Other - ONSITE HEALTH CENTER
Facility Name	MARATHON HEALTH AT S JONES BLVD
Street	7399 S JONES BLVD STE 3
City	LAS VEGAS
State	NV
ZIP	89139
Phone	802 857-0400
CertificateType	4
CertificateEffectiveDate	5/27/2023
CertificateExpirationDate	5/26/2025
FacilityType	Waiver

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