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MODERN WELLNESS CLINIC, LLC
NPI 1245801273
Family Medicine in Las Vegas, NV

Active since July 09, 2021CLIA 29D2241417 · Waiver
5375 S FORT APACHE RD, LAS VEGAS, NV 89148(702) 463-9159 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 20, 2026, Jun 12, 2025, Jul 9, 2021 (3 updates tracked since 2021).

About Modern Wellness Clinic, Llc NPPES

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

MODERN WELLNESS CLINIC, LLC (NPI 1245801273), doing business as Modern Wellness Clinic, is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 27, 2027, maintains a secondary practice location in Las Vegas, and lists Robert J Webb, Managing Parner, as its authorized official.

NPPES Registry Identity

NPI1245801273
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMODERN WELLNESS CLINIC, LLC
Location Address5375 S FORT APACHE RDLas Vegas, NV 89148-7623
Mailing Address5375 S Fort Apache RdLas Vegas, NV 89148-7623
Phone(702) 463-9159
Organization SubpartNo
Authorized OfficialRobert J WebbManaging Parner · (702) 236-7171
Enumeration DateJuly 9, 2021
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1245801273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
5375 S FORT APACHE RD, Las Vegas, NV 89148
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Other Names 1

Doing Business AsModern Wellness Clinic

Secondary Practice Location 1

Location 13115 S Eastern AveLas Vegas, NV 89169-3308 · Phone (702) 463-9159 · Fax (702) 463-6611

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 29D2241417

Modern Wellness Clinic · Las Vegas, NV
Active · expires Oct 27, 2027
CLIA Number29D2241417
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorTri Truong
Laboratory Phone(702) 463-9159
Laboratory LocationModern Wellness Clinic5375 S Fort Apache Rd Stes 102-103, Las Vegas, NV 89148
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

SATISH SHARMA SINGLE MBR
Pain Medicine (Pain Medicine)
5375 S FORT APACHE RD, SUITE 102
LAS VEGAS, NV 89148
Clark County (702) 739-8323
SATISH SHARMA
Anesthesiology (Pain Medicine)
5375 S FORT APACHE RD, STE 102
LAS VEGAS, NV 89148
Clark County (702) 739-8323
DR. BOUNGKHONG DAVID VANSOMPHONE M.D.
Internal Medicine
5375 S FORT APACHE RD, STE# 101
LAS VEGAS, NV 89148
Clark County (702) 597-1597
GOLDSMITH HEALTHCARE, LTD
Counselor (Mental Health)
5375 S FORT APACHE RD, 102-103
LAS VEGAS, NV 89148
Clark County (702) 646-9444
M BALASUBRAMANIAN MD INC
Internal Medicine
5375 S FORT APACHE RD, SUITE 110
LAS VEGAS, NV 89148
Clark County (702) 597-1597
EDWARD NEIL FISHMAN D.O.
Family Medicine (Adult Medicine)
5375 S FORT APACHE RD
LAS VEGAS, NV 89148
Clark County (702) 253-6888
DAVID VANSOMPHONE MD LTD
Internal Medicine
5375 S FORT APACHE RD, SUITE 101
LAS VEGAS, NV 89148
Clark County (702) 597-1597
MIRIELYS MERAYO MEJIAS FNP
Nurse Practitioner (Family)
5375 S FORT APACHE RD
LAS VEGAS, NV 89148
Clark County (702) 463-9159

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 Modern Wellness Clinic, LLC's NPI number?

The NPI number for Modern Wellness Clinic, LLC is 1245801273. It was assigned to this organization in the NPPES registry on July 9, 2021. The provider is doing business as Modern Wellness Clinic.

Where is Modern Wellness Clinic, LLC located?

Modern Wellness Clinic, LLC is located at 5375 S Fort Apache Rd, Las Vegas, NV 89148. The listed phone number is (702) 463-9159.

What is Modern Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Modern Wellness Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2241417) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Modern Wellness Clinic, LLC accept?

Health plans from Ambetter from Arizona Complete Health list Modern Wellness Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Wellness Clinic, LLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.