Infertility Laboratories of Las Vegas, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INFERTILITY LABORATORIES OF LAS VEGAS, LLC

Practice address

8851 West Sahara Ave, Suite 100
Las Vegas, NV 89117

Phone

(818) 858-1080

NPI assigned

Jan 12, 2016

Organization subpart

Yes

Parent organization

FPG LABS LLCAs reported in NPPES

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

Authorized official

Name

Goldie Gupta

Title

Cfo

Phone

(630) 536-7738

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1477919082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 VENTURA BLVD, SUITE 625",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-858-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 WEST SAHARA AVE, SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "818-858-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFERTILITY LABORATORIES OF LAS VEGAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FPG LABS LLC",
        "enumeration_date": "2016-01-12",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "GOLDIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-536-7738"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "2173REG-12",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Medical Laboratory in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.