National Provider Identifier Database

PROSTHETICS ADVANCEMENT LAB LLC
Ocularist


Contact Information

PROSTHETICS ADVANCEMENT LAB, LLC
3199 E WARM SPRINGS RD STE 300
LAS VEGAS, NV89120-3150
Phone: 702-207-9500
Fax: 702-852-0492
Website:
Specialty Taxonomy Code
* Ocularist 156FX1700X
Anaplastologist 229N00000X

* Indicates primary specialty

NPI Profile & details for PROSTHETICS ADVANCEMENT LAB, LLC

NPI Number 1972002632
Legal business name
LBN
PROSTHETICS ADVANCEMENT LAB, LLC
Authorized official JANET CHAO - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 02/08/2018
Last updated 07/02/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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