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NPI Code Detail

MEDICARE: E-LAB OF AMERICA

MEDICARE: E-LAB OF AMERICA
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1386181972
Entity Type Code : Organization
Provider Name (Legal Business Name) : E-LAB OF AMERICA
Provider Business Mailing Address
First Line : 8275 S EASTERN AVE STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2545
Country : US
Telephone Number : 888-860-3522
Fax Number : 888-860-3222
Provider Business Practice Location Address
First Line : 8275 S EASTERN AVE STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2545
Country : US
Telephone Number : 888-860-3522
Fax Number : 888-860-3222
Authorized Official
Title or Position : CEO
Name : MR. ALEJANDRO PABRIAGA
Credential :
Telephone Number : 725-777-8066
Provider Enumeration Date : 01/21/2017
Last Update Date : 01/21/2017

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Directions to “E-LAB OF AMERICA ” Practice Location

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