Organization
ZIZI INC
Active
Other names
van wagner immediate care center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW UKLEJA M.D. (PRESIDENT)
(702) 522-1491
Entity
Organization
Contact information
Practice address
2360 CORPORATE CIR, STE 100, HENDERSON, NV 89074-7722
(702) 522-1491
(800) 586-3501
Mailing address
11201 S EASTERN AVE, STE 210, HENDERSON, NV 89052-6201
(702) 522-1491
(800) 586-3501
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
29D1088252
NV
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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