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NPI Code Detail

MEDICARE: SYNERGY LABORATORIES INC

MEDICARE: SYNERGY LABORATORIES INC
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 Laboratory29D1056752NV

General Provider Information

NPI Number : 1467523605
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGY LABORATORIES INC
Provider Business Mailing Address
First Line : 4224 W RENO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1612
Country : US
Telephone Number : 702-220-9159
Fax Number : 702-248-6486
Provider Business Practice Location Address
First Line : 4224 W RENO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1612
Country : US
Telephone Number : 702-220-9159
Fax Number : 702-248-6486
Authorized Official
Title or Position : OWNER
Name : AVETIS ARUTYUNYAN
Credential :
Telephone Number : 702-220-1959
Provider Enumeration Date : 11/10/2006
Last Update Date : 05/12/2008

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Directions to “SYNERGY LABORATORIES INC ” Practice Location

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