MEDICARE: CLINICAL SOLUTIONS 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	251S00000X	Community/Behavioral Health Agency	2000793320	NV

General Provider Information

NPI Number	:	1699071340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2445 FIRE MESA ST
Second Line	:	190
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9014
Country	:	US
Telephone Number	:	702-212-3008
Fax Number	:

Provider Business Practice Location Address
First Line	:	2445 FIRE MESA ST
Second Line	:	190
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9014
Country	:	US
Telephone Number	:	702-212-3008
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. JAMIL ALI
Credential	:	D.O.
Telephone Number	:	702-212-3008

Provider Enumeration Date	:	01/27/2011
Last Update Date	:	01/27/2011

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