Organization
AVEM DIAGNOSTICS L.L.C.
Active
Other names
AVEM Diagnostics, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY LUTTRELL PHD, PT, CBT, CWS, (CHIEF SCIENTIFIC OFFICE)
(338) 957-0079
Entity
Organization
Contact information
Practice address
5670 WYNN RD STE D, LAS VEGAS, NV 89118-2355
(833) 693-2898
Mailing address
5670 WYNN RD STE D, LAS VEGAS, NV 89118-2355
(833) 693-2898
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
—
—
207ZM0300X
Medical Microbiology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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