MEDICARE: VENI ANGELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	261QC1500X	Community Health Clinic/Center
3	261QH0100X	Health Service Clinic/Center
4	291U00000X	Clinical Medical Laboratory
5	374700000X	Technician

General Provider Information

NPI Number	:	1982484994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VENI ANGELS

Provider Business Mailing Address
First Line	:	9000 LAS VEGAS BLVD S UNIT 1283
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-3376
Country	:	US
Telephone Number	:	317-809-4536
Fax Number	:

Provider Business Practice Location Address
First Line	:	5545 MOUNTAIN VISTA ST STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2115
Country	:	US
Telephone Number	:	702-856-9037
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MS. DANA JANINE DUNCAN
Credential	:	LABORATORY CPT
Telephone Number	:	702-856-9037

Provider Enumeration Date	:	10/05/2023
Last Update Date	:	10/05/2023

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Directions to “VENI ANGELS ” Practice Location

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