ADVANTAGE TOXICOLOGY MANAGEMENT, LLC (NPI# 1225390990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225390990 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE TOXICOLOGY MANAGEMENT, LLC |
| Practice Address |
297 Kingsbury Grade Suite 100, Mail Box 4470 Stateline NV 89449-9804 |
| Mailing Address |
1801 W Olympic Blvd File 1560 Pasadena CA 91199-1560 |
| Practice Telephone | 7025985596 |
| Mailing Telephone | 7024985596 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | MR. JOHN MIADICH (MANAGING MEMBER) |
| Authorized Official Telephone | 7024985596 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
297 KINGSBURY GRADE SUITE 100, MAIL BOX 4470 |
| City | STATELINE |
| State | NV |
| Zip Code | 89449-9804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427449420 | Orion Healthcorp | Clinical Medical Laboratory | 297 Kingsbury Grade, Ste 100, Stateline, NV 89449-9804 | 2015-02-11 |
| 1538597604 | Ahmed Zarrugh | Clinical Medical Laboratory | 297 Kingsbury Grade, Suite 100, Stateline, NV 89449-4470 | 2013-10-28 |
| 1750713327 | Medrite Medical Solutions, LLC | Clinical Medical Laboratory | 297 Kingsbury Grade, Ste 100, Mail Box 4470, Stateline, NV 89449-9804 | 2013-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194294975 | Allison Shima | Home Health | 795 Bigler Ct., Unit B, Stateline, NV 89449 | 2018-11-21 |
| 1093184459 | Amy Payne | Massage Therapist | 301 Highway 50, Stateline, NV 89449 | 2015-09-16 |
| 1871972091 | Tess Jansse | Physical Therapist | 15 Highway 50, Stateline, NV 89449 | 2015-05-20 |
| 1386067437 | Maureen Sullivan | Counselor | 37 Burke Creek Cir, Stateline, NV 89449 | 2014-01-27 |
| 1831401835 | Lucie Ann King | Social Worker | 191 Pine Drive, Stateline, NV 89449 | 2010-07-07 |
| 1134217375 | Sean M Degnan | Specialist | 165 Hwy 50, Suite 100, Stateline, NV 89449 | 2006-10-11 |
| 1124048962 | Richard Eldred Lusby | Dentist | 308 Dorla Court, Suite 202, Zephyr Cove, NV 89449 | 2006-07-21 |
| 1982675252 | Vitalcare Health Services Inc | Durable Medical Equipment & Medical Supplies | 170 Shady Lane, Stateline, NV 89449 | 2006-01-27 |
| 1124025069 | Paul Lance Marlowe | Family Medicine | 155 Hwy 50, Stateline, NV 89449 | 2005-07-07 |
| 1306333604 | Premise Health of Nevada Medical Hinitt P C | Non-Pharmacy Dispensing Site | 15 Highway 50, Stateline, NV 89449 | 2018-04-23 |
| Find all providers in zip 89449 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427449420 | Orion Healthcorp | Clinical Medical Laboratory | 297 Kingsbury Grade, Ste 100, Stateline, NV 89449-9804 | 2015-02-11 |
| 1538597604 | Ahmed Zarrugh | Clinical Medical Laboratory | 297 Kingsbury Grade, Suite 100, Stateline, NV 89449-4470 | 2013-10-28 |
| 1750713327 | Medrite Medical Solutions, LLC | Clinical Medical Laboratory | 297 Kingsbury Grade, Ste 100, Mail Box 4470, Stateline, NV 89449-9804 | 2013-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240176 | Shakori Unique Givens | Clinical Medical Laboratory | 907 Silverman Way, Las Vegas, NV 89106-2539 | 2020-09-17 |
| 1730790247 | Bellahealth Staffing LLC | Clinical Medical Laboratory | 6034 Giant Forest Ln, North Las Vegas, NV 89031-1663 | 2020-08-10 |
| 1881204402 | Laboratory Corporation of America | Clinical Medical Laboratory | 731 Pilot Rd Ste E, Las Vegas, NV 89119-4437 | 2020-08-07 |
| 1407474190 | My Genius Lab LLC | Clinical Medical Laboratory | 3017 W Charleston Blvd Ste 10, Las Vegas, NV 89102-1927 | 2020-07-08 |
| 1245876085 | Veni-express Inc | Clinical Medical Laboratory | 200 W. Mcdonald St., Beatty, NV 89003-0001 | 2019-11-26 |
| 1114577152 | Acms-nv LLC | Clinical Medical Laboratory | 6255 Mcleod Dr Ste 26, Las Vegas, NV 89120-4075 | 2019-09-11 |
| 1518429703 | Imperial Labs | Clinical Medical Laboratory | 2950 S Rainbow Blvd Ste 260, Las Vegas, NV 89146-6213 | 2019-04-05 |
| 1235601006 | Community First LLC | Clinical Medical Laboratory | 10789 Double R Blvd Ste 102, Reno, NV 89521-9010 | 2018-12-18 |
| 1588158950 | Nevada Stat Laboratory | Clinical Medical Laboratory | 2675 S Jones Blvd Ste 111, Las Vegas, NV 89146-5607 | 2018-06-19 |
| 1386133650 | Reno Liquid LLC | Clinical Medical Laboratory | 14825 Kivett Ln, Reno, NV 89521-8317 | 2018-05-02 |
| Find all providers with the same taxonomy | ||||
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| 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.