Nursedx of Nevada LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NURSEDX OF NEVADA LLC

Practice address

6392 McLeod Dr Ste 9
Las Vegas, NV 89120-4417

Phone

(949) 395-6883

Fax

(866) 246-3093

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Arlene Gayares, RN

Title

Owner

Phone

(949) 395-6883

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1114577152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6392 MCLEOD DR STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204417",
            "telephone_number": "949-395-6883",
            "fax_number": "866-246-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6392 MCLEOD DR STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204417",
            "telephone_number": "949-395-6883",
            "fax_number": "866-246-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSEDX OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "GAYARES",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-395-6883",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Las Vegas, NV
• Clinical Medical Laboratory in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.