Organization
PROSTHETICS ADVANCEMENT LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET C CHAO BCO, CCA (MANAGING MEMBER)
(702) 609-9203
Entity
Organization
Contact information
Practice address
3199 E WARM SPRINGS RD STE 300, LAS VEGAS, NV 89120-3150
(702) 207-9500
(702) 852-0492
Mailing address
3199 E WARM SPRINGS RD STE 300, LAS VEGAS, NV 89120-3150
(702) 207-9500
(702) 852-0492
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
229N00000X
Anaplastologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972002632
—
NV
Enumeration date
08/20/2018
Last updated
07/02/2020
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