Provider Demographics
NPI:1558796920
Name:NEVADA CENTER FOR BLOOD DISORDERS
Entity Type:Organization
Organization Name:NEVADA CENTER FOR BLOOD DISORDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-426-4000
Mailing Address - Street 1:4210 STUDIO ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-2312
Mailing Address - Country:US
Mailing Address - Phone:702-732-1956
Mailing Address - Fax:702-732-3225
Practice Address - Street 1:3121 S MARYLAND PKWY STE 206
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2302
Practice Address - Country:US
Practice Address - Phone:702-732-1956
Practice Address - Fax:702-732-3225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center