MEDICARE: EMERG N SEE CLINICAL LABS

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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1184384687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERG N SEE CLINICAL LABS

Provider Business Mailing Address
First Line	:	2217 PARADISE RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2514
Country	:	US
Telephone Number	:	833-504-5227
Fax Number	:

Provider Business Practice Location Address
First Line	:	2217 PARADISE RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2514
Country	:	US
Telephone Number	:	833-504-5227
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MR. ARVIND BUSAM
Credential	:
Telephone Number	:	775-977-0509

Provider Enumeration Date	:	12/23/2021
Last Update Date	:	12/23/2021

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