Provider Demographics
NPI:1871181081
Name:RAPID LAB
Entity Type:Organization
Organization Name:RAPID LAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHARMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-488-4950
Mailing Address - Street 1:2464 REYNOLDS AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030
Mailing Address - Country:US
Mailing Address - Phone:909-556-2644
Mailing Address - Fax:702-780-5840
Practice Address - Street 1:2465 REYNOLDS AVE STE 202
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-7296
Practice Address - Country:US
Practice Address - Phone:909-556-2644
Practice Address - Fax:702-780-5840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory