Medlab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

29D1106338 Issued in NV

Legal business name

MEDLAB LLC

Doing business as

MedLab

Practice address

2860 S Jones Blvd
2
Las Vegas, NV 89146-5308

Phone

(702) 834-7600

Fax

(702) 834-7602

NPI assigned

Jan 27, 2010

Last updated

Jul 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Navdeep Singh Gill, M.D.

Title

Manager

Phone

(702) 834-7600

Specialties & licenses 1

Addresses

Other names 1

• MedLab Doing business as

Locations

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1679804843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 S JONES BLVD",
            "address_2": "2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465308",
            "telephone_number": "702-834-7600",
            "fax_number": "702-834-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S JONES BLVD",
            "address_2": "2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465308",
            "telephone_number": "702-834-7600",
            "fax_number": "702-834-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "NAVDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-834-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "29D1106338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedLab",
            "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 Jul 8, 2010; 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.