Healthcare Provider Details

I. General information

NPI: 1790656296
Provider Name (Legal Business Name): BIOSTRIDE CLINICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 W SUNSET RD STE 110
HENDERSON NV
89014-2695
US

IV. Provider business mailing address

1510 W SUNSET RD STE 110
HENDERSON NV
89014-2695
US

V. Phone/Fax

Practice location:
  • Phone: 702-762-2664
  • Fax:
Mailing address:
  • Phone: 702-762-2664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: KESHA D GALIARDI
Title or Position: OWNER
Credential: CPT,CMA
Phone: 702-762-2664