Provider Demographics
NPI:1104466994
Name:INHEALTH LIFE SCIENCES LLC
Entity type:Organization
Organization Name:INHEALTH LIFE SCIENCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:TRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-287-7375
Mailing Address - Street 1:3340 SUNRISE AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-4830
Mailing Address - Country:US
Mailing Address - Phone:702-452-4999
Mailing Address - Fax:
Practice Address - Street 1:40 ENTERPRISE BLVD
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6912
Practice Address - Country:US
Practice Address - Phone:800-976-1495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty