MEDICARE: LAS VEGAS VIP URGENT CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1164370763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS VEGAS VIP URGENT CARE, LLC

Provider Business Mailing Address
First Line	:	7435 S. EASTERN AVE, STE 105
Second Line	:	#142
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1505
Country	:	US
Telephone Number	:	219-252-5144
Fax Number	:

Provider Business Practice Location Address
First Line	:	2971 S SAMMY DAVIS JR DR
Second Line	:	UNIT 130 & 132
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-1196
Country	:	US
Telephone Number	:	702-802-0243
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	ROBIN HASS
Credential	:	HASS
Telephone Number	:	219-252-5144

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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