Organization
INTERNAL MEDICINE ASSOCIATES LABORATORY
Active
Parent organization
INTERNAL MEDICINE ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERNAL MEDICINE ASSOCIATES
Authorized official
MRS. KIMBERLY A BERMAN (ADMINISTRATION)
(702) 464-7127
Entity
Organization
Contact information
Practice address
3121 S MARYLAND PKWY, SUITE 301, LAS VEGAS, NV 89109-2307
(702) 369-1344
(702) 369-6550
Mailing address
6301 MOUNTAIN VISTA ST, SUITE 203, HENDERSON, NV 89014-2364
(702) 792-4336
(702) 385-4823
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
29D0538607
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506353
—
NV
Enumeration date
05/20/2008
Last updated
05/20/2008
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