Consolidated Laboratory Services, Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

1304312501 Issued in NV

Legal business name

CONSOLIDATED LABORATORY SERVICES, INC

Practice address

1670 E Calvada Blvd
Suite 600
Pahrump, NV 89048

Phone

(702) 650-0439

Fax

(702) 650-9687

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Alexander Stojanoff, PHD

Title

Director

Phone

(702) 650-0439

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1376730945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 325",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198212",
            "telephone_number": "702-650-0439",
            "fax_number": "702-650-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E CALVADA BLVD",
            "address_2": "SUITE 600",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "702-650-0439",
            "fax_number": "702-650-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED LABORATORY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "STOJANOFF",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-650-0439",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NV",
            "license": "1304312501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952382400",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Radiology Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.