Organization Active NPI

Haztech Mso LLC

Doing business as Las Vegas Haztech Lab Plus Mobile

  • Clinical Medical Laboratory
  • Las Vegas, NV
National Provider Identifier
1265193973
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HAZTECH MSO LLC
Doing business as
Las Vegas Haztech Lab Plus Mobile
Practice address
1661 E Flamingo Rd Ste 6
Las Vegas, NV 89119-5291
Phone
(713) 737-5912
NPI assigned
Jan 5, 2022
Last updated
Apr 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Paul Tate
Title
Manager
Phone
(713) 737-5912

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU

Addresses

Primary practice location

1661 E Flamingo Rd Ste 6
Las Vegas, NV 89119-5291

Mailing address

18648 McKay Dr Ste 120
Humble, TX 77338-5724
Phone (713) 737-5912

Other names 1

  • LAS VEGAS HAZTECH LAB PLUS MOBILE Doing business as

National Provider Directory

National Provider Directory

Locations

1661 E Flamingo Rd
Ste 6
Las Vegas, NV 89119
Phone (916) 226-5137

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1265193973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18648 MCKAY DR STE 120",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385724",
            "telephone_number": "713-737-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 E FLAMINGO RD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195291",
            "telephone_number": "713-737-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZTECH MSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-737-5912"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAS VEGAS HAZTECH LAB PLUS MOBILE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 7, 2022; 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.