Healthcare Provider Details

I. General information

NPI: 1073270773
Provider Name (Legal Business Name): EQUALITY PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 W SUNSET RD STE 120
HENDERSON NV
89014-6635
US

IV. Provider business mailing address

1490 W SUNSET RD STE 120
HENDERSON NV
89014-6635
US

V. Phone/Fax

Practice location:
  • Phone: 855-955-5428
  • Fax: 844-389-0835
Mailing address:
  • Phone: 855-955-5428
  • Fax: 844-389-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. TREVOR HARDER
Title or Position: LAB DIRECTOR
Credential:
Phone: 855-955-5428