Healthcare Provider Details

I. General information

NPI: 1750225736
Provider Name (Legal Business Name): MEDICAL ARTS LABORATORIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10161 PARK RUN DR STE 150
LAS VEGAS NV
89145-8872
US

IV. Provider business mailing address

10161 PARK RUN DR STE 150
LAS VEGAS NV
89145-8872
US

V. Phone/Fax

Practice location:
  • Phone: 877-416-7329
  • Fax: 877-416-7329
Mailing address:
  • Phone: 877-416-7329
  • Fax: 877-416-7329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: DR. CRAIG BRAUSE
Title or Position: DIRECTOR
Credential: MD
Phone: 877-416-7329