PROFESSIONAL DIAGNOSTICS LLC
NPI 1114815164
Physiological Laboratory in Las Vegas, NV

Active since June 26, 2025
2041 W BONANZA RD, LAS VEGAS, NV 89106(650) 537-1598(650) 887-1689 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Diagnostics Llc NPPES

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

PROFESSIONAL DIAGNOSTICS LLC (NPI 1114815164) is a healthcare organization registered as a physiological laboratory in Las Vegas, Nevada and active in the NPI registry since June 2025. The organization lists Mark Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114815164
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePROFESSIONAL DIAGNOSTICS LLC
Location Address2041 W BONANZA RDLas Vegas, NV 89106-4766
Mailing Address2041 W Bonanza RdLas Vegas, NV 89106-4766 · (650) 537-1598
Fax(650) 887-1689
Organization SubpartYesParent: Mdhi Medical Services Corporation
Authorized OfficialMark MillerCeo · (702) 524-0367
Enumeration DateJune 26, 2025
NPPES CertifiedJune 26, 2025
NPI 1114815164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
2041 W BONANZA RD, Las Vegas, NV 89106

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physiological Laboratory
2041 W BONANZA RD
LAS VEGAS, NV 89106
Physiological Laboratory
2041 W BONANZA RD
LAS VEGAS, NV 89106
Physiological Laboratory
2041 W BONANZA RD
LAS VEGAS, NV 89106

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 Professional Diagnostics LLC's NPI number?

The NPI number for Professional Diagnostics LLC is 1114815164. It was assigned to this organization in the NPPES registry on June 26, 2025.

Where is Professional Diagnostics LLC located?

Professional Diagnostics LLC is located at 2041 W Bonanza Rd, Las Vegas, NV 89106. The listed phone number is (650) 537-1598.

What is Professional Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Professional Diagnostics LLC was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.