Imperial Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IMPERIAL LABS

Practice address

2950 S Rainbow Blvd Ste 260
Las Vegas, NV 89146-6213

Phone

(702) 302-9717

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Miss Yulia Leontieva

Title

Managing Partner

Phone

(702) 302-9717

Specialties & licenses 1

Addresses

Other names 1

• Imperial Labs Doing business as

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1518429703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 S RAINBOW BLVD STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S RAINBOW BLVD STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466213",
            "telephone_number": "702-302-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LEONTIEVA",
        "authorized_official_first_name": "YULIA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-302-9717",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Jun 11, 2019; 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.