NPIMap

Organization Active NPI

Ati Inc

Doing business as American Toxicology

  • Clinical Medical Laboratory
  • Las Vegas, NV
National Provider Identifier
1306248752
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
C55-00164 Issued in NV
Legal business name
ATI INC
Doing business as
American Toxicology
Practice address
3340 Sunrise Ave Ste 105
Las Vegas, NV 89101-4830
Phone
(702) 452-4999
Fax
(702) 452-2730
NPI assigned
Sep 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Ben Brown
Title
General Manger
Phone
(702) 452-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X C55-00164 NV Primary

Addresses

Primary practice location

3340 Sunrise Ave Ste 105
Las Vegas, NV 89101-4830

Mailing address

3340 Sunrise Ave Ste 105
Las Vegas, NV 89101-4830
Phone (702) 452-4999

Other names 1

  • AMERICAN TOXICOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150219000631 NV Part B Supplier - Independent Clinical Laboratory 6608191457 2 other NPIs on this enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ati Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3340 Sunrise Ave
Ste 105
Las Vegas, NV 89101
Phone (702) 452-4999

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1306248752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 SUNRISE AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891014830",
            "telephone_number": "702-452-4999",
            "fax_number": "702-452-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 SUNRISE AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891014830",
            "telephone_number": "702-452-4999",
            "fax_number": "702-452-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "GENERAL MANGER",
        "authorized_official_telephone_number": "702-452-4999"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "C55-00164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN TOXICOLOGY",
            "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 Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.