MEDALLUS & VACHAROTHONE LTD NPI 1902329469

NPI Information

NPI: 1902329469
Provider Name: MEDALLUS & VACHAROTHONE LTD

Doing Business As: MEDALLUS MEDICAL

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1501 LAMOILLE HWY
ELKO, NV
ZIP 89801
Phone: (775) 400-1510
Get Directions

MEDALLUS & VACHAROTHONE LTD is a primary care clinic center in Elko, NV. MEDALLUS & VACHAROTHONE LTD NPI is 1902329469. The provider is registered as an organization entity type.
The provider Is Doing Business As Medallus Medical.

The provider's business location address is:

1501 LAMOILLE HWY
ELKO, NV
ZIP 89801-321
Phone: (775) 400-1510
Fax: (775) 984-5170

The provider's authorized official is Rachot K Vacharothone .
The authorized official title is Ceo and has the following contact phone number (801) 501-0500.

The CLIA number assigned to this NPI record is 46D1024970 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/17/2017 and was last updated on 3/28/2024.

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
1	261QP2300X	Clinic/Center	Primary Care			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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