NPIMap

Organization Active NPI

Nevada Histology, Inc.

  • Clinical Medical Laboratory
  • Reno, NV
National Provider Identifier
1295701480
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1512LIC-5 Issued in NV
Legal business name
NEVADA HISTOLOGY, INC.
Practice address
1350 Stardust St
Suite D
Reno, NV 89503-4264
Phone
(775) 747-2211
Fax
(775) 746-3411
NPI assigned
Feb 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Blum
Title
General Manager
Phone
(775) 746-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1512LIC-5 NV Primary

Addresses

Primary practice location

1350 Stardust St
Suite D
Reno, NV 89503-4264

Mailing address

1350 Stardust St
Suite D
Reno, NV 89503-4264
Phone (775) 747-2211

Other identifiers 2

IdentifierTypeStateIssuer
G44897OtherNVMANSON
XPY068120OtherNVMEDICAL

National Provider Directory

National Provider Directory

Locations

1350 Stardust St
Ste D
Reno, NV 89503
Phone (775) 746-3400

Practitioners & affiliated clinicians

Practitioners 7

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": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295701480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 STARDUST ST",
            "address_2": "SUITE D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034264",
            "telephone_number": "775-747-2211",
            "fax_number": "775-746-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 STARDUST ST",
            "address_2": "SUITE D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034264",
            "telephone_number": "775-747-2211",
            "fax_number": "775-746-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HISTOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "775-746-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "1512LIC-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANSON",
            "identifier": "G44897",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "XPY068120",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.