MEDICARE: ELAB OF AMERICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory		NV

General Provider Information

NPI Number	:	1134662612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELAB OF AMERICA

Provider Business Mailing Address
First Line	:	7260 LAS VEGAS BLVD S
Second Line	:	SUITE 237
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4020
Country	:	US
Telephone Number	:	888-860-3522
Fax Number	:

Provider Business Practice Location Address
First Line	:	7260 LAS VEGAS BLVD S
Second Line	:	SUITE 237
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4020
Country	:	US
Telephone Number	:	888-860-3522
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALEJANDRO PABRIAGA
Credential	:
Telephone Number	:	725-777-8066

Provider Enumeration Date	:	12/01/2016
Last Update Date	:	12/01/2016

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Directions to “ELAB OF AMERICA ” Practice Location

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