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General NPI Number Information
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NPI Number | 1790656296
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Entity Type | Organization
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Legal Business Name | BIOSTRIDE CLINICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 1047 SWEEPING VINE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89183-6346
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Country | US
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Telephone | 702-762-2664
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Fax |
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Provider Business Mailing Address
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Address Line | 1047 SWEEPING VINE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89183-6346
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Country | US
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Telephone | 702-762-2664
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KESHA D GALIARDI
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Credential | CPT,CMA
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Telephone | 702-762-2664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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