Organization
LAS VEGAS LABORATORY LLC
Active
Other names
1st American Diagnostic Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE MOURIELLE HERNANDEZ (MANAGING MEMBER)
(510) 456-8143
Entity
Organization
Contact information
Practice address
4570 S EASTERN AVE STE 23, LAS VEGAS, NV 89119-6183
(510) 456-8143
Mailing address
4570 S EASTERN AVE STE 23, LAS VEGAS, NV 89119-6183
(510) 456-8143
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
06/20/2024
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