Provider Demographics
NPI:1417340902
Name:APT LV LLC
Entity Type:Organization
Organization Name:APT LV LLC
Other - Org Name:TRINA HEALTH OF LAS VEGAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:GOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-347-7140
Mailing Address - Street 1:1661 E FLAMINGO RD STE 6
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5291
Mailing Address - Country:US
Mailing Address - Phone:702-850-2786
Mailing Address - Fax:702-850-2794
Practice Address - Street 1:1661 E FLAMINGO RD
Practice Address - Street 2:SUITE 6
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5291
Practice Address - Country:US
Practice Address - Phone:702-850-2786
Practice Address - Fax:702-850-2794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy