Provider Demographics
NPI:1073905287
Name:SOLUTIONS RECOVERY, INC.
Entity Type:Organization
Organization Name:SOLUTIONS RECOVERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MARLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-228-8520
Mailing Address - Street 1:9811 W CHARLESTON BLVD
Mailing Address - Street 2:STE 2626
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117
Mailing Address - Country:US
Mailing Address - Phone:702-228-8520
Mailing Address - Fax:702-448-7205
Practice Address - Street 1:2975 S. RAINBOW BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-228-8520
Practice Address - Fax:702-448-7205
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLUTIONS RECOVERY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6251EXL-1291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory