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SADY MEDICAL ENTERPRISES INC. NPI 1184676728


NPI Information

NPI: 1184676728
Provider Name: SADY MEDICAL ENTERPRISES, INC.

Doing Business As: SANTA ROSA MEDICAL CENTER

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

CLIA Number: 29D1022978

Address:
4161 S EASTERN AVE
LAS VEGAS, NV
ZIP 89119
Phone: (702) 693-6222
Get Directions

SADY MEDICAL ENTERPRISES, INC. is a medical physician assistant in Las Vegas, NV. SADY MEDICAL ENTERPRISES, INC. NPI is 1184676728. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Santa Rosa Medical Center.

The provider's business location address is:

4161 S EASTERN AVE
LAS VEGAS, NV
ZIP 89119-484
Phone: (702) 693-6222
Fax: (702) 369-6504

The provider's authorized official is Brian C Sady .
The authorized official title is Physician's Assistant and has the following contact phone number (702) 693-6222.

The CLIA number assigned to this NPI record is 29D1022978 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical576NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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