Healthcare Provider Details

I. General information

NPI: 1518611235
Provider Name (Legal Business Name): RHS GEORGIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 MCLEOD DR STE 100
LAS VEGAS NV
89121-2257
US

IV. Provider business mailing address

3225 MCLEOD DR STE 100
LAS VEGAS NV
89121-2257
US

V. Phone/Fax

Practice location:
  • Phone: 888-747-4201
  • Fax:
Mailing address:
  • Phone: 888-747-4201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AKIYOMI FIELDS
Title or Position: LAB DIRECTOR
Credential:
Phone: 888-747-4201