Provider Demographics
NPI:1114577152
Name:NURSEDX OF NEVADA LLC
Entity Type:Organization
Organization Name:NURSEDX OF NEVADA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYARES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:949-395-6883
Mailing Address - Street 1:6392 MCLEOD DR STE 9
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-4417
Mailing Address - Country:US
Mailing Address - Phone:949-395-6883
Mailing Address - Fax:866-246-3093
Practice Address - Street 1:6392 MCLEOD DR STE 9
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4417
Practice Address - Country:US
Practice Address - Phone:949-395-6883
Practice Address - Fax:866-246-3093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory