Bon Clinical Laboratories LTD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1964LIC-9 Issued in NV

Legal business name

BON CLINICAL LABORATORIES LTD

Practice address

2470 Paseo Verde Parkway
Suite 125
Henderson, NV 89074-7122

Phone

(702) 737-5050

Fax

(702) 737-5060

NPI assigned

Dec 2, 2005

Last updated

Jul 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen F Carifo, PHD

Title

Laboratory Director

Phone

(702) 737-5050

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1144204199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 PASEO VERDE PARKWAY",
            "address_2": "SUITE 125",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747122",
            "telephone_number": "702-737-5050",
            "fax_number": "702-737-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 PASEO VERDE PARKWAY",
            "address_2": "SUITE 125",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747122",
            "telephone_number": "702-737-5050",
            "fax_number": "702-737-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON CLINICAL LABORATORIES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "CARIFO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "702-737-5050",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "1964LIC-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506728",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lashonda Bolds
• Ela Kristel Olan Bolisay, MSN, APRN-C
• Prashanti Bollu, D.M.D., M.S., M.B.A.
• Debra Boman, LMT
• Myesha Bomer
• Jaime Danielle Bond, PHARM D
• Samuel Bond
• Stephanie Elizabeth Bond
• Donna Bondeson
• Jordana Arielle Boneh, M.D.

• Clinical Medical Laboratory in Henderson, NV
• Providers in Henderson, 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 Jul 27, 2015; 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.