Organization
LAS VEGAS IMMEDIATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH LUIGI CARULLO M.D. (CEO)
(702) 255-0500
Entity
Organization
Contact information
Practice address
2901 N TENAYA WAY, SUITE 210, LAS VEGAS, NV 89128
(702) 255-0500
(702) 821-1704
Mailing address
2901 N TENAYA WAY, SUITE 210, LAS VEGAS, NV 89128
(702) 255-0500
(702) 821-1704
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
13661
NV
Other
Enumeration date
12/16/2010
Last updated
05/02/2013
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