Organization
LUX LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY E FLATT (CREDENTIALING MANAGER)
(702) 401-4483
Entity
Organization
Contact information
Practice address
2851 EL CAMINO AVE STE 101, LAS VEGAS, NV 89102-4266
(702) 380-3210
(702) 380-3212
Mailing address
2851 EL CAMINO AVE, SUITE 200, LAS VEGAS, NV 89102-4266
(702) 380-3210
(702) 380-3212
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
NV20161197177
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V50561
NORIDIAN
NV
Enumeration date
04/06/2016
Last updated
09/11/2017
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