Provider Demographics
NPI:1164019725
Name:DNA ANALYTICAL LABORATORY LV LLC
Entity Type:Organization
Organization Name:DNA ANALYTICAL LABORATORY LV LLC
Other - Org Name:DNA MOLECULAR SCIENCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF LABORATORY OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-230-7545
Mailing Address - Street 1:4310 CAMERON ST STE 9
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3826
Mailing Address - Country:US
Mailing Address - Phone:702-550-0124
Mailing Address - Fax:702-675-8122
Practice Address - Street 1:4310 CAMERON ST STE 9
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3826
Practice Address - Country:US
Practice Address - Phone:702-550-0124
Practice Address - Fax:702-675-8122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty