Silver State Clinical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

4426LIC-0 Issued in NV

Legal business name

SILVER STATE CLINICAL LABORATORY LLC

Practice address

6330 W Flamingo Rd Unit 104
Las Vegas, NV 89103-2234

Phone

(702) 761-9176

Fax

(702) 331-9984

NPI assigned

Apr 1, 2006

Organization subpart

No

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

Authorized official

Name

Allen McKay

Title

Co-Owner

Phone

(702) 761-9176

Specialties & licenses 2

Addresses

Other names 1

• Silver State Clinical Laboratory Other name

Locations

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1912968405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 W FLAMINGO RD UNIT 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032234",
            "telephone_number": "702-761-9176",
            "fax_number": "702-457-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 W FLAMINGO RD UNIT 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032234",
            "telephone_number": "702-761-9176",
            "fax_number": "702-331-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-01",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "702-761-9176"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "4426LIC-0",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver State Clinical Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Silver State Health Services

• 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 Aug 31, 2022; 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.