NPIMap

Organization Active NPI

St Michaels Labs Las Vegas Inc

  • Clinical Medical Laboratory
  • Henderson, NV
National Provider Identifier
1710282686
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
29D2008291 Issued in NV
Legal business name
ST MICHAELS LABS LAS VEGAS INC
Practice address
2865 Siena Heights Dr
Suite 200
Henderson, NV 89052-4167
Phone
(702) 824-9655
Fax
(702) 889-4213
NPI assigned
Jan 24, 2011
Last updated
Jan 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Jo Ann Johnson
Title
Credentialing Assisitant
Phone
(713) 586-6778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 29D2008291 NV Primary

Addresses

Primary practice location

2865 Siena Heights Dr
Suite 200
Henderson, NV 89052-4167

Mailing address

PO Box 924109
Suite 200
Houston, TX 77292-4109
Phone (713) 586-6778

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1710282686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924109",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772924109",
            "telephone_number": "713-586-6778",
            "fax_number": "713-586-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR",
            "address_2": "SUITE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524167",
            "telephone_number": "702-824-9655",
            "fax_number": "702-889-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MICHAELS LABS LAS VEGAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "CREDENTIALING ASSISITANT",
        "authorized_official_telephone_number": "713-586-6778"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "29D2008291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.