PROSTHETICS ADVANCEMENT LAB, LLC (NPI# 1972002632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972002632 |
| Entity Type | Organization |
| Organization Name | PROSTHETICS ADVANCEMENT LAB, LLC |
| Practice Address |
3199 E Warm Springs Rd Ste 300 Las Vegas NV 89120-3150 |
| Practice Telephone | 7022079500 |
| Practice Fax Number | 7028520492 |
| Mailing Telephone | 7022079500 |
| Mailing Fax Number | 7028520492 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | JANET C CHAO (MANAGING MEMBER) |
| Authorized Official Telephone | 7022079500 |
| Authorized Official Credential | BCO, CCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 229N00000X | Anaplastologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659851699 | Prosthetics Advancement Lab, LLC | Technician/Technologist | 3199 E Warm Springs Rd Ste 300, Las Vegas, NV 89120-3150 | 2018-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROSTHETICS ADVANCEMENT LAB, LLC | 3199 E Warm Springs Rd Ste 300, Las Vegas, NV 89120-3150 |
| Street Address |
3199 E WARM SPRINGS RD STE 300 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89120-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285081331 | Janet C Chao | Technician/Technologist | 3199 E Warm Springs Rd Ste 300, Las Vegas, NV 89120-3150 | 2016-05-18 |
| 1659851699 | Prosthetics Advancement Lab, LLC | Technician/Technologist | 3199 E Warm Springs Rd Ste 300, Las Vegas, NV 89120-3150 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1225656804 | Michael Y Chang Md PC | Anesthesiology | 2700 Sunset Rd B18, Las Vegas, NV 89120 | 2020-07-09 |
| 1053962142 | Arlene M Mcmillen | Technician | 3321 Casey Drive, Apt 104 Bldg 15, Las Vegas, NV 89120 | 2019-09-20 |
| 1942858634 | Michael A Fortunato Md Pllc | Anesthesiology | Michael A Fortunato, Md Pllc, 2700 Sunset Rd #b18, Las Vegas, NV 89120 | 2019-08-27 |
| 1023664521 | Christine White | Behavior Technician | 8431 Sunset Road, Suite 110, Henderson, NV 89120 | 2019-08-12 |
| 1922653435 | David Stefon Mayo | Technician | 3960 E. Patrick Lane, Suite 202., Las Vegas, NV 89120 | 2019-08-02 |
| 1346893724 | Joseph Acuna | Technician | 3960 E. Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-24 |
| 1588217582 | Va Natasha Manutai | Technician | 3980 E Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-18 |
| 1811557788 | Fidencia Gutierrez | Chore Provider | 2690 Chandler Ave. Ste. 1, Ste. 1, Las Vegas, NV 89120 | 2019-06-13 |
| Find all providers in zip 89120 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139679 | Mihran Gasparyan | Technician/Technologist | 10033 Canyon Dunes Ave, Las Vegas, NV 89147-8284 | 2018-10-04 |
| 1285081331 | Janet C Chao | Technician/Technologist | 3199 E Warm Springs Rd Ste 300, Las Vegas, NV 89120-3150 | 2016-05-18 |
| 1659851699 | Prosthetics Advancement Lab, LLC | Technician/Technologist | 3199 E Warm Springs Rd Ste 300, Las Vegas, NV 89120-3150 | 2018-08-20 |
| 1013232131 | Eric Matthew Lindsey | Technician/Technologist | 3663 E Sunset Rd, Ste 506, Las Vegas, NV 89120-3299 | 2010-03-31 |
Please comment or provide details below to improve the information on PROSTHETICS ADVANCEMENT LAB, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.