Organization
ST MICHAELS LABS LAS VEGAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN JOHNSON (CREDENTIALING ASSISITANT)
(713) 586-6778
Entity
Organization
Contact information
Practice address
2865 SIENA HEIGHTS DR, SUITE 200, HENDERSON, NV 89052-4167
(702) 824-9655
(702) 889-4213
Mailing address
PO BOX 924109, SUITE 200, HOUSTON, TX 77292-4109
(713) 586-6778
(713) 586-6752
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
29D2008291
NV
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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