1Staid Care LLC
Organization Active NPI Urgent Care Clinic/Center · Las Vegas, NV
NPI 1134745722 · NPPES record last updated Jun 19, 2020
Key facts
- NPI
- 1134745722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- 1STAID CARE LLC
- Practice address
- 7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088 - Phone
- (702) 761-6457
- NPI assigned
- Jun 19, 2020
- Organization subpart
- No
Authorized official
- Name
- Stanley Kidiavayi
- Title
- Authorized Official
- Phone
- (702) 761-6457
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088
Mailing address
7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088
Phone (702) 761-6457
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.