Healthcare Provider Details

I. General information

NPI: 1164370763
Provider Name (Legal Business Name): LAS VEGAS VIP URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2971 S SAMMY DAVIS JR DR UNIT 130 & 132
LAS VEGAS NV
89109-1196
US

IV. Provider business mailing address

7435 S. EASTERN AVE, STE 105 #142
LAS VEGAS NV
89123-1505
US

V. Phone/Fax

Practice location:
  • Phone: 702-802-0243
  • Fax:
Mailing address:
  • Phone: 219-252-5144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBIN HASS
Title or Position: NURSE PRACTITIONER
Credential: HASS
Phone: 219-252-5144