# AVEM DIAGNOSTICS L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVEM Diagnostics, L.L.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679235782
- **Authorized official:** MS. TAMMY LUTTRELL PHD, PT, CBT, CWS, (CHIEF SCIENTIFIC OFFICE)
- **Authorized official phone:** (338) 957-0079

## Contact information

- **Practice address:** 5670 WYNN RD STE D, LAS VEGAS, NV 89118-2355
- **Practice address phone:** (833) 693-2898
- **Mailing address:** 5670 WYNN RD STE D, LAS VEGAS, NV 89118-2355
- **Mailing address phone:** (833) 693-2898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0006X | Clinical Pathology Physician | — | NULL | — |
| 207ZC0006X | Clinical Pathology Physician | — | — | — |
| 207ZM0300X | Medical Microbiology Physician | — | NULL | Yes |
| 207ZM0300X | Medical Microbiology Physician | — | — | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 10/06/2021
- **Last updated:** 10/06/2021
