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Contact Information

SHAMLOO BLUE SKY TREATMENT CENTER PLLC
3150 N TENAYA WAY
SUITE 510
LAS VEGAS, NV89128-0443
 Phone: 702-453-3799
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHAMLOO BLUE SKY TREATMENT CENTER PLLC

NPI # 1487081048
LBN Legal business name SHAMLOO BLUE SKY TREATMENT CENTER PLLC
Authorized official LORI LABRECQUE - (ACCTS. MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2013
Last updated 10/29/2013 - About 13 years ago
Identifiers
NV License # 13639
NV Other 13639 NV LIC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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