Ati Inc
Organization Active NPI Clinical Medical Laboratory · Las Vegas, NV
NPI 1306248752 · NPPES record last updated Sep 17, 2014
Key facts
- NPI
- 1306248752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- C55-00164 (NV)
- Legal business name
- ATI INC
- 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
- Organization subpart
- No
Authorized official
- Name
- Ben Brown
- Title
- General Manger
- Phone
- (702) 452-4999
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150219000631 | NV | Part B Supplier - Independent Clinical Laboratory | 6608191457 |
2 other NPIs on this enrollment Practice locations: Las Vegas, NV |
National Provider Directory
- Tax ID family
- Ati Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | C55-00164 | NV | Yes |
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
- AMERICAN TOXICOLOGY
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- Ati Hakimi MD, Prof LLC
- Ati Inc
- Ati Inc
- Nilda Alabro Atienza-Isman
- Danica San Agustin Atienza
- Katelyne May Atijera
- Kariz Atiq
All providers in Las Vegas, NV · Clinical Medical Laboratory in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.