Organization Active NPI

Synergy Laboratories, Inc.

  • Clinical Medical Laboratory
  • Las Vegas, NV
National Provider Identifier
1205090073
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
4648LIC-1 Issued in NV
Legal business name
SYNERGY LABORATORIES, INC.
Practice address
4161 S Eastern Ave
Suite a-6
Las Vegas, NV 89119-5484
Phone
(702) 220-9159
Fax
(702) 248-6486
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Myra Taigman-Farrell
Title
President
Phone
(702) 220-9159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 4648LIC-1 NV Primary

Addresses

Primary practice location

4161 S Eastern Ave
Suite a-6
Las Vegas, NV 89119-5484

Mailing address

1000 N Green Valley Pkwy
Suite #440-249
Henderson, NV 89074-6170
Phone (702) 220-9159

National Provider Directory

National Provider Directory

Locations

1000 N Green Valley Pkwy
Ste 440249
Henderson, NV 89074

4161 S Eastern Ave
Ste A6
Las Vegas, NV 89119
Phone (702) 220-9159

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1205090073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N GREEN VALLEY PKWY",
            "address_2": "SUITE #440-249",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746170",
            "telephone_number": "702-220-9159",
            "fax_number": "702-263-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE",
            "address_2": "SUITE A-6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195484",
            "telephone_number": "702-220-9159",
            "fax_number": "702-248-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "TAIGMAN-FARRELL",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-220-9159"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "4648LIC-1",
            "primary": true
        }
    ],
    "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 Jul 10, 2008; 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.