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General NPI Number Information
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NPI Number | 1750225736
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Entity Type | Organization
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Legal Business Name | MEDICAL ARTS LABORATORIES INC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 10161 PARK RUN DR STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89145-8872
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Country | US
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Telephone | 877-416-7329
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Fax | 877-416-7329
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Provider Business Mailing Address
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Address Line | 10161 PARK RUN DR STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89145-8872
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Country | US
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Telephone | 877-416-7329
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Fax | 877-416-7329
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CRAIG BRAUSE
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Credential | MD
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Telephone | 877-416-7329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State |
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