NPIMap

Individual provider Active NPI

Jing Sun, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
National Provider Identifier
1821658485
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
DO3692 Issued in NV
Practice address
7455 W Washington Ave Ste 301
Las Vegas, NV 89128-4340
Phone
(702) 732-3441
Fax
(702) 938-9954
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X DO3692 NV Primary

Addresses

Primary practice location

7455 W Washington Ave Ste 301
Las Vegas, NV 89128-4340

Mailing address

1355 River Bend Dr
Dallas, TX 75247-4915
Phone (214) 237-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240401000891 AZ Practitioner - Pathology 0345688040 Reassigns benefits to 1 organization
I20240712001479 NV Practitioner - Pathology 0345688040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laboratory Medicine Consultants LTDGroup PAC ID 4183617533, shared by 2 NPIs, 26 clinicians

Practice addresses (Care Compare)

7455 W Washington Ave
Las Vegas, NV 89128-4337
Phone (702) 732-3441

7455 W Washington Ave
Suite 301
Las Vegas, NV 89128-4340

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO3692NVMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Medicine Consultants LTD CurrentSince Mar 15, 2024 Accepting new patients
Laboratory Medicine Consultants LTD Anatomic Pathology & Clinical Pathology CurrentSince Mar 15, 2024 Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

File 749203
Los Angeles, CA 90074

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441

7455 W Washington Ave
Las Vegas, NV 89128
Phone (702) 425-0978

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1821658485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474915",
            "telephone_number": "214-237-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284340",
            "telephone_number": "702-732-3441",
            "fax_number": "702-938-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "JING",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "DO3692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.