Organization Active NPI

Genlab Inc

  • Clinical Medical Laboratory
  • Las Vegas, NV
National Provider Identifier
1073842001
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
NV20091512600 Issued in NV
Legal business name
GENLAB INC
Practice address
601 S Rancho Dr
Suite A4
Las Vegas, NV 89106-4899
Phone
(702) 385-4522
Fax
(702) 385-2377
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Mrs. Eliane Pabriaga
Title
President
Phone
(702) 385-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NV20091512600 NV Primary

Addresses

Primary practice location

601 S Rancho Dr
Suite A4
Las Vegas, NV 89106-4899

Mailing address

601 S Rancho Dr
Suite A4
Las Vegas, NV 89106-4899
Phone (702) 385-4522

National Provider Directory

National Provider Directory

Locations

7710 W Sahara Ave
Ste 127
Las Vegas, NV 89117
Phone (702) 233-8601

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1073842001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR",
            "address_2": "SUITE A4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064899",
            "telephone_number": "702-385-4522",
            "fax_number": "702-385-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR",
            "address_2": "SUITE A4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064899",
            "telephone_number": "702-385-4522",
            "fax_number": "702-385-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENLAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "PABRIAGA",
        "authorized_official_first_name": "ELIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-385-4522",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "NV20091512600",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 22, 2009; 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.