TRIDUUM HEALTH CARE LLC NPI 1740900059

NPI Information

NPI: 1740900059
Provider Name: TRIDUUM HEALTH CARE LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 29D2270888

Address:
2301 E SUNSET RD STE 7
LAS VEGAS, NV
ZIP 89119
Phone: (725) 204-7533
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TRIDUUM HEALTH CARE LLC is a health service clinic center in Las Vegas, NV. TRIDUUM HEALTH CARE LLC NPI is 1740900059. The provider is registered as an organization entity type.

The provider's business location address is:

2301 E SUNSET RD STE 7
LAS VEGAS, NV
ZIP 89119-933
Phone: (725) 204-7533
Fax: (725) 214-7240

The provider's authorized official is Andinwoh Orock .
The authorized official title is Physician Assistant/ Owner and has the following contact phone number (702) 292-3578.

The CLIA number assigned to this NPI record is 29D2270888 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2022 and was last updated on 8/29/2022.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

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: 5/5/2024

NPI Synchronization or Removal

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