Healthcare Provider Details

I. General information

NPI: 1184400855
Provider Name (Legal Business Name): MEGHAN ELIZABETH BARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 E SAHARA AVE
LAS VEGAS NV
89104-3221
US

IV. Provider business mailing address

1018 E SAHARA AVE
LAS VEGAS NV
89104-3221
US

V. Phone/Fax

Practice location:
  • Phone: 661-912-6763
  • Fax:
Mailing address:
  • Phone: 661-912-6763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: