Provider Demographics
NPI:1134662612
Name:ELAB OF AMERICA
Entity Type:Organization
Organization Name:ELAB OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:PABRIAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-777-8066
Mailing Address - Street 1:7260 LAS VEGAS BLVD S
Mailing Address - Street 2:SUITE 237
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4020
Mailing Address - Country:US
Mailing Address - Phone:888-860-3522
Mailing Address - Fax:
Practice Address - Street 1:7260 LAS VEGAS BLVD S
Practice Address - Street 2:SUITE 237
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4020
Practice Address - Country:US
Practice Address - Phone:888-860-3522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory