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ANGELES MEDICAL CENTERS LLC
NPI 1114739125
Obstetrics & Gynecology in N Las Vegas, NV

Active since January 25, 2025CLIA 29D2125937 · Waiver
2125 CIVIC CENTER DR, N LAS VEGAS, NV 89030(702) 333-0110 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angeles Medical Centers Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELES MEDICAL CENTERS LLC (NPI 1114739125) is a healthcare organization registered as an obstetrics & gynecology in N Las Vegas, Nevada and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists George Chambers, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114739125
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameANGELES MEDICAL CENTERS LLC
Location Address2125 CIVIC CENTER DRN Las Vegas, NV 89030-6327
Mailing Address2125 Civic Center DrN Las Vegas, NV 89030-6327 · (702) 333-0110
Phone(702) 333-0110
Organization SubpartNo
Authorized OfficialGeorge ChambersAdministrator · (702) 333-0110
Enumeration DateJanuary 25, 2025
Last NPPES UpdateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1114739125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2125 CIVIC CENTER DR, N Las Vegas, NV 89030
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2125937

Angeles Medical Centers · Las Vegas, NV
Active · expires Feb 14, 2027
CLIA Number29D2125937
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorStephen Andracki
Laboratory Phone(702) 333-0110
Laboratory LocationAngeles Medical Centers840 N Decatur Blvd Ste A, Las Vegas, NV 89107
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angeles Medical Centers LLC's NPI number?

The NPI number for Angeles Medical Centers LLC is 1114739125. It was assigned to this organization in the NPPES registry on January 25, 2025.

Where is Angeles Medical Centers LLC located?

Angeles Medical Centers LLC is located at 2125 Civic Center Dr, N Las Vegas, NV 89030. The listed phone number is (702) 333-0110.

What is Angeles Medical Centers LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Angeles Medical Centers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2125937) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Angeles Medical Centers LLC was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.