Prosthetics Advancement Lab, LLC

Primary specialty

AnaplastologistTaxonomy code 229N00000X

Legal business name

PROSTHETICS ADVANCEMENT LAB, LLC

Practice address

3199 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3150

Phone

(702) 207-9500

Fax

(702) 852-0492

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Janet C Chao, BCO, CCANPI 1285081331

Title

Managing Member

Phone

(702) 609-9203

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Prosthetics Advancement Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prosthetics Advancement Lab, LLC

  • Ocularist
  • Las Vegas, NV
  • NPI 1972002632
  NPD tax ID

Locations

Practitioners 1

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

• Janet C Chao, BCO, CCA

  • Ocularist
  • Las Vegas, NV
  • NPI 1285081331
  NPD Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1659851699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 E WARM SPRINGS RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203150",
            "telephone_number": "702-207-9500",
            "fax_number": "702-852-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 E WARM SPRINGS RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203150",
            "telephone_number": "702-207-9500",
            "fax_number": "702-852-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETICS ADVANCEMENT LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-609-9203",
        "authorized_official_credential": "BCO, CCA"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "229N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972002632",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prosperity Mental Health, Inc.
• Serenity Prosperity
• Prossavid Health Care Center L C
• Amiya Prosser
• Prosthetic Center of Excellence, a Nevada Corporation
• Prosthetics Advancement Lab, LLC
• Proteus Therapeutic Solutions Inc
• Proteus Therapeutic Solutions, Inc
• Reginald Wayne Protho
• Proto Script Pharmacueticals Corp

• Anaplastologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Anaplastologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.