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OPTIMUMEDICINE LLC
NPI 1568105161
Clinic/Center - Community Health in Las Vegas, NV

Active since April 20, 2022CLIA 29D2157494 · Certificate of Compliance
5010 S DECATUR BLVD STE G&H, LAS VEGAS, NV 89118(702) 302-4569 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optimumedicine Llc NPPES

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

OPTIMUMEDICINE LLC (NPI 1568105161) is a healthcare organization registered as a community health in Las Vegas, Nevada and active in the NPI registry since April 2022. The organization holds a CLIA Certificate of Compliance certificate valid through April 6, 2027 and lists Michele Ward, Cfo, as its authorized official.

NPPES Registry Identity

NPI1568105161
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameOPTIMUMEDICINE LLC
Location Address5010 S DECATUR BLVD STE G&HLas Vegas, NV 89118-4934
Mailing Address5010 S Decatur Blvd Ste G&hLas Vegas, NV 89118-4934 · (702) 302-4569
Phone(702) 302-4569
Organization SubpartNo
Authorized OfficialMichele WardCfo · (702) 302-4569
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1568105161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
5010 S DECATUR BLVD STE G&H, Las Vegas, NV 89118
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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 Compliance 29D2157494

Optimumedicine · Las Vegas, NV
Active · expires Apr 6, 2027
CLIA Number29D2157494
Laboratory TypeAmbulance
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorDr. Joseph C. Stuart
Laboratory Phone(702) 302-4569
Laboratory LocationOptimumedicine175 E Reno Ave Ste C-6, Las Vegas, NV 89119
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Optimumedicine LLC's NPI number?

The NPI number for Optimumedicine LLC is 1568105161. It was assigned to this organization in the NPPES registry on April 20, 2022.

Where is Optimumedicine LLC located?

Optimumedicine LLC is located at 5010 S Decatur Blvd Ste G&h, Las Vegas, NV 89118. The listed phone number is (702) 302-4569.

What is Optimumedicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Optimumedicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 29D2157494) is associated with this NPI, valid through April 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 Optimumedicine LLC was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.