Organization
MBM PLUS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALYA MELNIC CEO (OWNER)
(818) 378-9549
Entity
Organization
Contact information
Practice address
8252 SETTLERS INN CT, LAS VEGAS, NV 89178-4872
(818) 378-9549
Mailing address
8252 SETTLERS INN CT, LAS VEGAS, NV 89178-4872
(818) 378-9549
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2044828
CLIA
CA
01
—
572011
BCBSF
CA
Enumeration date
10/12/2015
Last updated
06/27/2016
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