Lsdccn of Nevada LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LSDCCN OF NEVADA LLC

Practice address

9324 Sienna Ridge Dr
Las Vegas, NV 89117-7013

Phone

(702) 203-1715

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Zafrir Diamant

Title

Member

Phone

(702) 203-1715

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1346514502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 SIENNA RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177013",
            "telephone_number": "702-203-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9324 SIENNA RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177013",
            "telephone_number": "702-203-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSDCCN OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "DIAMANT",
        "authorized_official_first_name": "ZAFRIR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-203-1715"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.