Southwest Dermatology Institute Ltd

LBN: Southwest Dermatology Institute Ltd
Southwest Dermatology Institute Ltd is an health care organization with primary practice located at 2900 E Desert Inn Rd 202, Las Vegas NV 89121-3619. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southwest Dermatology Institute Ltd can be contacted via phone (702) 731-0933, or through Safko, Martin J via phone (702) 731-0933.

Contact Information

Primary practice address
2900 E Desert Inn Rd 202 Las Vegas NV 89121-3619
Phone: (702) 731-0933
Fax: (702) 731-9928
Website:
Map and Directions
Authorized official contact:
Name: Safko, Martin J Doctor of Medicine (MD)
Phone: (702) 731-0933

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5369 Nevada

Profile Details

NPI number 1114073285
LBN Legal business name Southwest Dermatology Institute Ltd
DBA Doing business as
Authorized official Safko, Martin J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Oct 20th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114073285 NPPES
Nevada Other 1255496014 NPI
Nevada MEDICAID 002002934 NPI

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