1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Clinic Center
  6. NPI Profile

ACTIVATE HEALTHCARE - LOCAL 357 (RED)
NPI 1467976969
Clinic/Center - Primary Care in Las Vegas, NV

Active since July 27, 2017CLIA 29D2134653 · Waiver
51 N PECOS RD STE 110, LAS VEGAS, NV 89101(702) 437-0227(702) 437-0228 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2022, Sep 13, 2021, Nov 7, 2018 and 1 more (4 updates tracked since 2017).

About Activate Healthcare - Local 357 (red) NPPES

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

ACTIVATE HEALTHCARE - LOCAL 357 (RED) (NPI 1467976969) is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1467976969
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address51 N PECOS RD STE 110Las Vegas, NV 89101-4819
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(702) 437-0227
Fax(702) 437-0228
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJuly 27, 2017
Last NPPES UpdateAugust 11, 20224 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1467976969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
51 N PECOS RD STE 110, Las Vegas, NV 89101
Open in Google Maps ↗

Other Names 1

Doing Business AsActivate Healthcare - Local 357 (red)

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 29D2134653

Activate Healthcare-Ibew Local 357 Clinic · Las Vegas, NV
Active · expires Aug 6, 2027
CLIA Number29D2134653
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorKida Thompson
Laboratory Phone(702) 437-0227
Laboratory LocationActivate Healthcare-Ibew Local 357 Clinic51 N Pecos Rd Ste 110, Las Vegas, NV 89101
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

EVERSIDE HEALTH, LLC
Clinic/Center (Health Service)
51 N PECOS RD STE 110
LAS VEGAS, NV 89101
Clark County (702) 437-0227
KIDA THOMPSON MD
Family Medicine
51 N PECOS RD STE 110
LAS VEGAS, NV 89101
Clark County (702) 437-0227

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1467976969. It was assigned to this organization in the NPPES registry on July 27, 2017. The provider is doing business as Activate Healthcare - Local 357 (red).

Where is Everside Health, LLC located?

Everside Health, LLC is located at 51 N Pecos Rd Ste 110, Las Vegas, NV 89101. The listed phone number is (702) 437-0227.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2134653) is associated with this NPI, valid through August 6, 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 Everside Health, LLC was last updated on August 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.