Citilab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CITILAB LLC

Doing business as

CitiLab

Practice address

2440 W Horizon Ridge Pkwy
Suite # 130
Henderson, NV 89052-2648

Phone

(702) 898-0245

Fax

(702) 898-0245

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Cristina Balmes

Title

Manager

Phone

(702) 858-0360

Specialties & licenses 1

Addresses

Other names 1

• CitiLab Doing business as

Locations

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1942575386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 W HORIZON RIDGE PKWY",
            "address_2": "SUITE # 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522648",
            "telephone_number": "702-898-0245",
            "fax_number": "702-898-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W HORIZON RIDGE PKWY",
            "address_2": "SUITE # 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522648",
            "telephone_number": "702-898-0245",
            "fax_number": "702-898-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITILAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "BALMES",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-858-0360",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CitiLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Henderson, NV
• Providers in Henderson, 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 Mar 19, 2012; 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.