Healthcare Provider Details

I. General information

NPI: 1033027339
Provider Name (Legal Business Name): ELITE ENTERPISE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 STELLA LAKE ST STE 26
LAS VEGAS NV
89106-2144
US

IV. Provider business mailing address

5620 HILL SPIRE ST
LAS VEGAS NV
89166-8116
US

V. Phone/Fax

Practice location:
  • Phone: 702-808-4383
  • Fax:
Mailing address:
  • Phone: 702-808-4383
  • Fax: 725-485-4415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. TENIKA BROWN
Title or Position: CEO
Credential:
Phone: 702-808-4383