NPIMap

Organization Active NPI

Colmed Laboratories & Radiology, LLC

  • Clinical Medical Laboratory
  • Las Vegas, NV
National Provider Identifier
1336558600
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COLMED LABORATORIES & RADIOLOGY, LLC
Practice address
6392 McLeod Dr Ste 3
Las Vegas, NV 89120-4417
Phone
(602) 317-6103
Fax
(480) 718-8396
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Samuel Akers
Title
Ceo
Phone
(602) 317-6103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6392 McLeod Dr Ste 3
Las Vegas, NV 89120-4417

Mailing address

1724 W 4TH St
Tempe, AZ 85281-7620
Phone (602) 317-6103

National Provider Directory

National Provider Directory
Tax ID family
Colmed Laboratories Radiology5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1336558600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 W 4TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817620",
            "telephone_number": "602-317-6103",
            "fax_number": "480-718-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6392 MCLEOD DR STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204417",
            "telephone_number": "602-317-6103",
            "fax_number": "480-718-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLMED LABORATORIES & RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-317-6103"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 12, 2014; 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.