NPIMap

Organization Active NPI

Zizi Inc

Doing business as van wagner immediate care center

  • Clinical Medical Laboratory
  • Henderson, NV
National Provider Identifier
1043535263
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
29D1088252 Issued in NV
Legal business name
ZIZI INC
Doing business as
van wagner immediate care center
Practice address
2360 Corporate Cir
Ste 100
Henderson, NV 89074-7722
Phone
(702) 522-1491
Fax
(800) 586-3501
NPI assigned
Mar 30, 2010
Last updated
Mar 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Andrew Ukleja, M.D.
Title
President
Phone
(702) 522-1491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 29D1088252 NV Primary

Addresses

Primary practice location

2360 Corporate Cir
Ste 100
Henderson, NV 89074-7722

Mailing address

11201 S Eastern Ave
Ste 210
Henderson, NV 89052-6201
Phone (702) 522-1491

Other names 1

  • van wagner immediate care center Doing business as

National Provider Directory

National Provider Directory

Locations

2360 Corporate Cir
Ste 100
Henderson, NV 89074
Phone (702) 834-4840

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1043535263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 S EASTERN AVE",
            "address_2": "STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526201",
            "telephone_number": "702-522-1491",
            "fax_number": "800-586-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 CORPORATE CIR",
            "address_2": "STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747722",
            "telephone_number": "702-522-1491",
            "fax_number": "800-586-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIZI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "UKLEJA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-522-1491",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "29D1088252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "van wagner immediate care center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.