Organization Active NPI

Lux Laboratories LLC

  • Clinical Medical Laboratory
  • Las Vegas, NV
National Provider Identifier
1053775965
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
NV20161197177 Issued in NV
Legal business name
LUX LABORATORIES LLC
Practice address
2851 El Camino Ave Ste 101
Las Vegas, NV 89102-4266
Phone
(702) 380-3210
Fax
(702) 380-3212
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Authorized official

Name
Stacy E Flatt
Title
Credentialing Manager
Phone
(702) 401-4483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NV20161197177 NV Primary

Addresses

Primary practice location

2851 El Camino Ave Ste 101
Las Vegas, NV 89102-4266

Mailing address

2851 El Camino Ave
Suite 200
Las Vegas, NV 89102-4266
Phone (702) 380-3210

Other identifiers 1

IdentifierTypeStateIssuer
V50561OtherNVNORIDIAN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1085099Lux Laboratories2851 El Camino Ave Ste 200, Las Vegas, NV 89102AccreditationSep 6, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2851 El Camino Ave
Ste 200
Las Vegas, NV 89102
Phone (702) 380-3210

2851 El Camino Ave
Ste 101
Las Vegas, NV 89102
Phone (702) 380-3210

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1053775965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 EL CAMINO AVE",
            "address_2": "SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024266",
            "telephone_number": "702-380-3210",
            "fax_number": "702-380-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 EL CAMINO AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024266",
            "telephone_number": "702-380-3210",
            "fax_number": "702-380-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "FLATT",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-401-4483"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "NV20161197177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN",
            "identifier": "V50561",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.