Covid Testing Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COVID TESTING LABS LLC

Practice address

3737 Pecos McLeod Interconnect
Las Vegas, NV 89121-4262

Phone

(725) 240-0608

Fax

(888) 356-3518

NPI assigned

Dec 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Edmond Sarraf, MDNPI 1295874022

Title

Ceo

Phone

(725) 240-0608

Specialties & licenses 1

Addresses

Other names 1

• Personalized Testing Laboratory 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.

• Edmond Gidon Sarraf, M.D.

  • Pediatric Adolescent Medicine Physician
  • Los Angeles, CA
  • NPI 1295874022
  NPD Authorized official

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1104586767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 PECOS MCLEOD INTERCONNECT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214262",
            "telephone_number": "725-240-0608",
            "fax_number": "888-356-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 PECOS MCLEOD INTERCONNECT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214262",
            "telephone_number": "725-240-0608",
            "fax_number": "888-356-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID TESTING LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "SARRAF",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "725-240-0608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personalized Testing Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Dec 23, 2021; 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.