NPI 1114815164

Professional Diagnostics LLC

Organisation Physiological Laboratory Las Vegas, NV

Practice location

Address: 2041 W Bonanza Rd, Las Vegas, NV 89106-4766
Phone: (650) 537-1598
Fax: (650) 887-1689

Authorised official

Name: Mark Miller
Title: Ceo
Phone: (702) 524-0367

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Nevada →

Registry record

NPI: 1114815164
Entity type: Organization
NPI issued: 26 Jun 2025
Record last updated: 26 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.