Active NPI
Nevada Choice Med Inc
- Clinical Medical Laboratory
- West Jordan, UT
National Provider Identifier
1255645834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 46D1024082
- Legal business name
- NEVADA CHOICE MED INC
- Practice address
- 3580 W 9000 S
West Jordan, UT 84088-8812 - Phone
- (877) 437-2824
- NPI assigned
- Aug 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard D Brobyn, M.D.
- Title
- President
- Phone
- (877) 437-2824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 46D1024082 | UT | Primary |
Addresses
Primary practice location
3580 W 9000 S
West Jordan, UT 84088-8812
Mailing address
4075 S Durango Dr
Ste 111-26
Las Vegas, NV 89147-4163
Phone (877) 437-2824
Other names 1
- professional diagnostics
National Provider Directory
National Provider DirectoryLocations
4075 S Durango Dr
Ste 11126
Las Vegas, NV 89147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280966400000",
"number": "1255645834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 S DURANGO DR",
"address_2": "STE 111-26",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891474163",
"telephone_number": "877-437-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888812",
"telephone_number": "877-437-2824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEVADA CHOICE MED INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A",
"authorized_official_last_name": "BROBYN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "877-437-2824",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "UT",
"license": "46D1024082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "professional diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.