Organization
NEVADA HISTOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BLUM (GENERAL MANAGER)
(775) 746-3400
Entity
Organization
Contact information
Practice address
1350 STARDUST ST, SUITE D, RENO, NV 89503-4264
(775) 747-2211
(775) 746-3411
Mailing address
1350 STARDUST ST, SUITE D, RENO, NV 89503-4264
(775) 747-2211
(775) 746-3411
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1512LIC-5
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G44897
MANSON
NV
01
—
XPY068120
MEDICAL
NV
Enumeration date
02/27/2006
Last updated
08/22/2020
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