Organization Active NPI

Life Science Health Center LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1417381807
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFE SCIENCE HEALTH CENTER LLC
Practice address
6332 S Rainbow Blvd
Las Vegas, NV 89118-3234
Phone
(702) 487-7055
Fax
(702) 991-7258
NPI assigned
Aug 21, 2013
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Steven Wojtaszczyk
Title
Owner
Phone
(702) 487-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6332 S Rainbow Blvd
Las Vegas, NV 89118-3234

Mailing address

2 White Tail CT
Henderson, NV 89074-6134
Phone (702) 487-7055

National Provider Directory

National Provider Directory

Locations

6332 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 227-1916

6332 S Rainbow Blvd
Ste 12
Las Vegas, NV 89118
Phone (702) 518-4424

6332 S Rainbow Blvd
Ste 120
Las Vegas, NV 89118
Phone (702) 507-9911

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1417381807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WHITE TAIL CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746134",
            "telephone_number": "702-487-7055",
            "fax_number": "702-991-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183234",
            "telephone_number": "702-487-7055",
            "fax_number": "702-991-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SCIENCE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "WOJTASZCZYK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-487-7055"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 21, 2013; 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.