1. Current: <title>Blue Cross Animal Hospital, Las Vegas NV, 89117</title>

Improvement: It should be expanded to include more generic entries such as "dog, cat, veterinarian, etc." and the State should be spelled out and the zip code removed – so that it looks like: <title>Blue Cross Animal Hospital, dog, cat, veterinary, dvm, Las Vegas Nevada</title>

2. Current: <meta name="description" content="We are an AAHA Las Vegas animal hospital providing Las Vegas veterinarian services since 1973.">

Improvement – cut to the chase, describe exactly what services you are offering: <meta name="description" content="We provide neutering, spaying, housing, [describe services].">

3. Current: <meta name="keywords" content="las vegas animal hospital, las vegas veterinarian, veterinary services, vet, dog, cat, las vegas,dvm">

Improvement: Remove spamdexed/duplicate entries and add more services – so that it looks like: <meta name="keywords" content="las vegas animal hospital, veterinarian, veterinary services, dog, cat, dvm, neutering, shots, rabies, spaying, housing, grooming, etc.">

Hopefully you can incorporate the suggested improvements which will result in elevation of your website from a Google Page Rank of 11 to possibly a Page Rank of 4-5.

Good luck!
References :
My website currently ranks No. 1 at Yahoo.com out of 6.9 million search results without reference to a domain name but merely to generic descriptive keywords.