Bandar Enterprises LLC Series 1 Assurity Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

32514DIR-0 Issued in NV

Legal business name

BANDAR ENTERPRISES LLC SERIES 1 ASSURITY LABS

Doing business as

Assurity Labs

Practice address

6140 S Fort Apache Road
Suite #140
Las Vegas, NV 89148

Phone

(702) 749-5588

Fax

(702) 852-0396

NPI assigned

Oct 14, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alexander Stojanoff, PHD

Title

Licensed Lab Director

Phone

(702) 749-5588

Specialties & licenses 1

Addresses

Other names 1

• Assurity Labs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heath R Wills, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1518914027
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1003244880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8876 SPANISH RIDGE AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481502",
            "telephone_number": "702-749-5588",
            "fax_number": "702-852-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 S FORT APACHE ROAD",
            "address_2": "SUITE #140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-749-5588",
            "fax_number": "702-852-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDAR ENTERPRISES LLC SERIES 1 ASSURITY LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "STOJANOFF",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "LICENSED LAB DIRECTOR",
        "authorized_official_telephone_number": "702-749-5588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "32514DIR-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assurity Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarissa M Bancoro
• Manuel Francisco Banda Martinez
• Karla Elizabeth Banda
• Toby Banda
• Antonio Basilio Maligaya Bandales II
• Neha Bandekar, M.D.
• Paul Bandt, M.D.
• Svetlana Banduka
• Jasmin Ebony Bandy
• Kaitlin Bandy

• Clinical Medical Laboratory in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Medical Laboratory in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.