ADDIS ADVANCED MEDICAL ASSOCIATES LLC
NPI 1861221418
Internal Medicine in Henderson, NV

Active since July 31, 2024CLIA 29D2340871 · Waiver
301 N PECOS RD STE E, HENDERSON, NV 89074(725) 200-4391(833) 972-5579 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Addis Advanced Medical Associates Llc NPPES

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

ADDIS ADVANCED MEDICAL ASSOCIATES LLC (NPI 1861221418) is a healthcare organization registered as an internal medicine in Henderson, Nevada and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through March 23, 2028 and lists Laura Addis, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1861221418
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADDIS ADVANCED MEDICAL ASSOCIATES LLC
Location Address301 N PECOS RD STE EHenderson, NV 89074-1350
Mailing Address301 N Pecos Rd Ste EHenderson, NV 89074-1350
Fax(833) 972-5579
Organization SubpartNo
Authorized OfficialLaura AddisManaging Member · (725) 259-4451
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
NPI 1861221418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
301 N PECOS RD STE E, Henderson, NV 89074

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 29D2340871

Addis Advanced Medical Associates, LLC · Henderson, NV
Active · expires Mar 23, 2028
CLIA Number29D2340871
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorLaura D. Addis
Laboratory Phone(725) 200-4391
Laboratory LocationAddis Advanced Medical Associates, LLC301 N Pecos Rd Ste E, Henderson, NV 89074
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Addis Advanced Medical Associates LLC's NPI number?

The NPI number for Addis Advanced Medical Associates LLC is 1861221418. It was assigned to this organization in the NPPES registry on July 31, 2024.

Where is Addis Advanced Medical Associates LLC located?

Addis Advanced Medical Associates LLC is located at 301 N Pecos Rd Ste E, Henderson, NV 89074. The listed phone number is (725) 200-4391.

What is Addis Advanced Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Addis Advanced Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2340871) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Addis Advanced Medical Associates LLC was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.