PROSTHETICS ADVANCEMENT LAB LLC NPI 1659851699

NPI Information

PROSTHETICS ADVANCEMENT LAB, LLC is an anaplastologist in Las Vegas, NV. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). PROSTHETICS ADVANCEMENT LAB, LLC NPI is 1659851699. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3199 E WARM SPRINGS RD STE 300
LAS VEGAS, NV
ZIP 89120-150
Phone: (702) 207-9500
Fax: (702) 852-0492

The provider's authorized official is Janet C Chao .
The authorized official title is Managing Member and has the following contact phone number (702) 609-9203.

The enumeration date for this NPI number is 8/20/2018 and was last updated on 7/2/2020.

Taxonomy Codes

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