Organization Active NPI

Aloha Xpress Medical

  • Health Service Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1144030750
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ALOHA XPRESS MEDICAL
Practice address
4510 S Eastern Ave Ste 9
Las Vegas, NV 89119-6118
Phone
(725) 204-0692
Fax
(725) 205-0307
NPI assigned
Jan 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Pomai Pierce
Title
Manager
Phone
(725) 204-0692

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

4510 S Eastern Ave Ste 9
Las Vegas, NV 89119-6118

Mailing address

4510 S Eastern Ave Ste 9
Las Vegas, NV 89119-6118
Phone (725) 204-0692

Other practice location 1

2950 S Rainbow Blvd # 204
Las Vegas, NV 89146-6244
Phone (725) 204-0692

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2237648Aloha Xpress Medical LLC2950 S Rainbow Blvd Ste 240, Las Vegas, NV 89146Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

Locations

2950 S Rainbow Blvd
#204
Las Vegas, NV 89146
Phone (725) 204-0692

4510 S Eastern Ave
Ste 9
Las Vegas, NV 89119
Phone (702) 732-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1144030750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 S EASTERN AVE STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196118",
            "telephone_number": "725-204-0692",
            "fax_number": "725-205-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 S EASTERN AVE STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196118",
            "telephone_number": "725-204-0692",
            "fax_number": "725-205-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 S Rainbow Blvd # 204",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891466244",
            "country_code": "US",
            "telephone_number": "725-204-0692",
            "fax_number": "725-205-0307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALOHA XPRESS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "POMAI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "725-204-0692"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.