Mesquite Vein and Laser, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MESQUITE VEIN AND LASER, INC

Practice address

350 Falcon Ridge Parkway
#501
Mesquite, NV 89027-8849

Phone

(702) 346-8346

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Robert W Ruess, MD

Title

President

Phone

(702) 346-8346

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1093869265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FALCON RIDGE PKWY STE 501",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278880",
            "telephone_number": "702-346-8346",
            "fax_number": "702-346-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FALCON RIDGE PARKWAY",
            "address_2": "#501",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278849",
            "telephone_number": "702-346-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE VEIN AND LASER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "RUESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-346-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mesquite Clinic Management Company LLC
• Mesquite Clinic Management Company LLC
• Mesquite Dialysis Center LLC
• Mesquite Medical Associates
• Mesquite Medical Equipment
• Mesquite Womens Clinic LLC
• MMC of Nevada LLC
• MMC of Nevada LLC
• MMC of Nevada LLC
• Holly Monserret, PTA, BAS

• Medical Specialty Clinic/Center in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Medical Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.