Edicine Im Pllc

LBN: Edicine Im Pllc
Edicine Im Pllc is an health care organization with primary practice located at 2828 E Lake Mead Blvd , North Las Vegas NV 89030-6548. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Edicine Im Pllc can be contacted via phone (480) 488-8020, or through Carson, Michael Paul via phone (480) 626-1415.

Contact Information

Primary practice address
2828 E Lake Mead Blvd North Las Vegas NV 89030-6548
Phone: (480) 488-8020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carson, Michael Paul
Phone: (480) 626-1415

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1821772724
LBN Legal business name Edicine Im Pllc
DBA Doing business as
Authorized official Carson, Michael Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2023
Last updated Jun 12th, 2023 - about 3 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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