PRIMARY MC LLC NPI 1457108805

NPI Information

  • NPI: 1457108805
  • Provider Name: PRIMARY MC LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 3497 APPLEWOOD AVE
    LAS VEGAS, NV
    ZIP 89121
  • Phone: (702) 824-6353

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NPI Details

PRIMARY MC LLC is a general practice in Las Vegas, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PRIMARY MC LLC NPI is 1457108805. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3497 APPLEWOOD AVE
LAS VEGAS, NV
ZIP 89121-353
Phone: (702) 824-6353

The provider's authorized official is Nyurkee Barriel Rey .
The authorized official title is Manager and has the following contact phone number (702) 824-6353.

The enumeration date for this NPI number is 5/3/2024 and was last updated on 5/3/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 11/21/2025

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