Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edicine Im PLLC

Organization Family Medicine Physician · NPI 1205520376

Edicine Im PLLC is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4270 S Decatur Blvd Ste A1
Las Vegas, NV 89103-6801
Phone: (702) 423-9566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1205520376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Carson — Billing Manager · (480) 626-1415
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023
Mailing address34597 N 60th St Ste 110, Scottsdale, AZ 85266-5241

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