Organization
CONSOLIDATED LABORATORY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER STOJANOFF PHD (DIRECTOR)
(702) 650-0439
Entity
Organization
Contact information
Practice address
1670 E CALVADA BLVD, SUITE 600, PAHRUMP, NV 89048
(702) 650-0439
(702) 650-9687
Mailing address
4275 BURNHAM AVE STE 325, LAS VEGAS, NV 89119-8212
(702) 650-0439
(702) 650-9687
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
1304312501
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952382400
NPI
NV
Enumeration date
09/27/2007
Last updated
09/27/2007
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