Organization Active NPI

Advanced Isotopes of Nevada, LLC

  • Home Infusion Therapy Pharmacy
  • Las Vegas, NV
National Provider Identifier
1972007169
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHNU02453 Issued in NV
Legal business name
ADVANCED ISOTOPES OF NEVADA, LLC
Practice address
1771 E Flamingo Rd Ste 121a
Las Vegas, NV 89119-0837
Phone
(702) 476-8600
Fax
(702) 750-1376
NPI assigned
Mar 21, 2018
Last updated
Mar 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Greg Spatafore
Title
Cfo - Partner
Phone
(702) 208-6418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X PHNU02453 NV Primary

Addresses

Primary practice location

1771 E Flamingo Rd Ste 121a
Las Vegas, NV 89119-0837

Mailing address

1771 E Flamingo Rd Ste 121a
Las Vegas, NV 89119-0837
Phone (702) 476-8600

National Provider Directory

National Provider Directory

Locations

1771 E Flamingo Rd
Ste 121A
Las Vegas, NV 89119
Phone (702) 476-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1972007169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 121A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190837",
            "telephone_number": "702-476-8600",
            "fax_number": "702-750-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 121A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190837",
            "telephone_number": "702-476-8600",
            "fax_number": "702-750-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ISOTOPES OF NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "SPATAFORE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO - PARTNER",
        "authorized_official_telephone_number": "702-208-6418"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NV",
            "license": "PHNU02453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.