Organization Active NPI

Las Vegas Immediate Care

  • Urgent Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1467755256
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
13661 Issued in NV
Legal business name
LAS VEGAS IMMEDIATE CARE
Practice address
2901 N Tenaya Way
Suite 210
Las Vegas, NV 89128
Phone
(702) 255-0500
Fax
(702) 821-1704
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Dr. Ralph Luigi Carullo, M.D.NPI 1538314661
Title
Ceo
Phone
(702) 255-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 13661 NV Primary

Addresses

Primary practice location

2901 N Tenaya Way
Suite 210
Las Vegas, NV 89128

Mailing address

2901 N Tenaya Way
Suite 210
Las Vegas, NV 89128
Phone (702) 255-0500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1467755256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N TENAYA WAY",
            "address_2": "SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-255-0500",
            "fax_number": "702-821-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N TENAYA WAY",
            "address_2": "SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-255-0500",
            "fax_number": "702-821-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "CARULLO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "LUIGI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-255-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NV",
            "license": "13661",
            "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 May 2, 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.