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LAKES DERMATOLOGY SKIN CANCER & LASER CENTER INC
NPI 1134288178
Dermatology in Las Vegas, NV

Active since December 06, 2006CLIA 29D0983069 · Waiver
8937 W SAHARA AVE, STE B, LAS VEGAS, NV 89117(702) 869-6667(702) 869-2627 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakes Dermatology Skin Cancer & Laser Center Inc NPPES

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

LAKES DERMATOLOGY SKIN CANCER & LASER CENTER INC (NPI 1134288178) is a healthcare organization registered as a dermatology in Las Vegas, Nevada and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists Allison Rose Rueckl, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1134288178
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKES DERMATOLOGY SKIN CANCER & LASER CENTER INC
Location Address8937 W SAHARA AVE, STE BLas Vegas, NV 89117
Mailing Address8937 W Sahara Ave, Ste BLas Vegas, NV 89117 · (702) 869-6667 · Fax (702) 869-2627
Phone(702) 869-6667
Fax(702) 869-2627
Organization SubpartNo
Authorized OfficialAllison Rose RuecklBilling Manager · (702) 869-6667
Enumeration DateDecember 6, 2006
Last NPPES UpdateNovember 6, 2007
✔ NPI 1134288178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
8937 W SAHARA AVE, Las Vegas, NV 89117
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Other Identifiers 2

Medicare PINV33652NV
Medicare UPINC96528NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 29D0983069

Lakes Dermatology · Las Vegas, NV
Active · expires Nov 5, 2026
CLIA Number29D0983069
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorDavid G. Cotter
Laboratory Phone(702) 869-6667
Laboratory LocationLakes Dermatology8861 W Sahara Ave Ste 290, Las Vegas, NV 89117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MRS. ALISSA DANAE NAGEL-ESPOSITO O.D.
Optometrist
8937 W SAHARA AVE, STE. A
LAS VEGAS, NV 89117
Clark County (702) 254-3558
OPTOMETRIC PARTNERSHIP LLC
Optometrist
8937 W SAHARA AVE, SUITE A
LAS VEGAS, NV 89117
Clark County (702) 254-3558
DR. JAMES ANIELLO BECKWITH O.D.
Optometrist
8937 W SAHARA AVE, SUITE A
LAS VEGAS, NV 89117
Clark County (702) 254-3558
MARK ROBERT LEE O.D.
Optometrist
8937 W SAHARA AVE, SUITE A
LAS VEGAS, NV 89117
Clark County (702) 254-3558
JAMES A. BECKWITH, O.D., INC.
Optometrist
8937 W SAHARA AVE, SUITE A
LAS VEGAS, NV 89117
Clark County (702) 254-3558

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 Lakes Dermatology Skin Cancer & Laser Center Inc's NPI number?

The NPI number for Lakes Dermatology Skin Cancer & Laser Center Inc is 1134288178. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Lakes Dermatology Skin Cancer & Laser Center Inc located?

Lakes Dermatology Skin Cancer & Laser Center Inc is located at 8937 W Sahara Ave Ste B, Las Vegas, NV 89117. The listed phone number is (702) 869-6667.

What is Lakes Dermatology Skin Cancer & Laser Center Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Lakes Dermatology Skin Cancer & Laser Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0983069) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakes Dermatology Skin Cancer & Laser Center Inc was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.