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

Rong Fan, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1669648408

Rong Fan, MD is a Pathology in Las Vegas, Nevada. Qualified in 1991, 35 years ago. Practices with Laboratory Medicine Consultants Ltd, a 29-clinician group and accepts Medicare assignment. Licensed in Indiana, Michigan, Nevada and New York.

Years since qualifying
35
Licensed in
IN, MI, NV, NY
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7455 W Washington Ave Ste 301
Las Vegas, NV 89128-4340
Phone: (702) 732-3441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 27457 (NV)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 01065131A (IN)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 4301510501 (MI)
Pediatric Pathology Physician Taxonomy 207ZP0213X · Licence 313196-01 (NY)

Record details

NPI number1669648408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2008
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address1355 River Bend Dr, Dallas, TX 75247-4915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Laboratory Medicine Consultants Ltd — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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