DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ISD LAS VEGAS LLC

MEDICARE: ISD LAS VEGAS 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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245430446
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISD LAS VEGAS LLC
Provider Business Mailing Address
First Line : 5200 VIRGINIA WAY
Second Line : L&C DEPT
City : BRENTWOOD
State : TN
Zip : 37027-7569
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1489 W WARM SPRINGS RD
Second Line : STE 122
City : HENDERSON
State : NV
Zip : 89014-7637
Country : US
Telephone Number : 702-450-8877
Fax Number : 702-450-8887
Authorized Official
Title or Position : VP, LICENSURE & CERTIFICATION
Name : SAMUEL WEY
Credential :
Telephone Number : 615-341-6641
Provider Enumeration Date : 07/25/2007
Last Update Date : 06/03/2025

Similar Medicare Providers

1760949358 — DR. BRIAN LEE DAY D.C.
Practice Location Address:
1489 W WARM SPRINGS RD STE 125
HENDERSON, NV
89014-7637
Practice Phone: 702-274-9977
Practice Fax:
1770040362 — DAY CHIROPRACTIC GROUP
Practice Location Address:
1489 W WARM SPRINGS RD STE 125
HENDERSON, NV
89014-7637
Practice Phone: 702-209-2525
Practice Fax: 725-204-0564
1730768615 — CHANDLER MEDINA
Practice Location Address:
1489 W WARM SPRINGS RD STE 125
HENDERSON, NV
89014-7637
Practice Phone: 702-209-2525
Practice Fax:
1114795481 — DR. SAMUEL JASON STIRRUP DC
Practice Location Address:
1489 W WARM SPRINGS RD STE 125
HENDERSON, NV
89014-7637
Practice Phone: 702-209-2525
Practice Fax:
1962385294 — DAY INJURY CENTER
Practice Location Address:
1489 W WARM SPRINGS RD STE 125
HENDERSON, NV
89014-7637
Practice Phone: 702-209-2525
Practice Fax:
1699372888 — FULL SPECTRUM THERAPY SERVICES, PLLC
Practice Location Address:
7637 HENDERSON PARK RD
HUNTERSVILLE, NC
28078-6366
Practice Phone: 248-703-5924
Practice Fax:

Directions to “ISD LAS VEGAS LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.