Active NPI
Professional Diagnostics LLC
- Physiological Laboratory
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- PROFESSIONAL DIAGNOSTICS LLC
- Practice address
- 2041 W Bonanza Rd
Las Vegas, NV 89106-4766 - Phone
- (650) 537-1598
- Fax
- (650) 887-1689
- NPI assigned
- Jun 26, 2025
- Last updated
- Jun 26, 2025
- Organization subpart
- Yes
- Parent organization
- MDHI MEDICAL SERVICES CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Miller, DPM
- Title
- Ceo
- Phone
- (702) 524-0367
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | NU | Primary |
Addresses
Primary practice location
2041 W Bonanza Rd
Las Vegas, NV 89106-4766
Mailing address
2041 W Bonanza Rd
Las Vegas, NV 89106-4766
Phone (650) 537-1598
National Provider Directory
National Provider Directory- Part of
- Mdhi Medical Services Corporation
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Physiological Laboratory
- Las Vegas, NV
- NPI 1144118191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Vista, CA
- NPI 1427048313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1114815164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 W BONANZA RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064766",
"telephone_number": "650-537-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 W BONANZA RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064766",
"telephone_number": "650-537-1598",
"fax_number": "650-887-1689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL DIAGNOSTICS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MDHI MEDICAL SERVICES CORPORATION",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-524-0367",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Procyon Clinic LLC
- Productive Community Services
- Productive Member's of Society Community and Family Services (Pmos-CFS)
- Danitza Profaca
- Professional Anesthesia Consultants
- Professional Healthcare Staffing Inc (Professional Home Health Services)
- Professional Medical Management, Inc.
- Professional Medical Services
- Professional Nursing Consultant Services Inc.
- Professional Portable Radiologic Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.