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DIAGNOSTIC IMAGING OF SOUTHERN NEVADA NPI 1063410918


NPI Information

NPI: 1063410918
Provider Name: DIAGNOSTIC IMAGING OF SOUTHERN NEVADA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3560 E FLAMINGO RD
SUITE 100
LAS VEGAS, NV
ZIP 89121
Phone: (702) 433-6100
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DIAGNOSTIC IMAGING OF SOUTHERN NEVADA is a diagnostic radiology radiology in Las Vegas, NV. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DIAGNOSTIC IMAGING OF SOUTHERN NEVADA NPI is 1063410918. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3560 E FLAMINGO RD
SUITE 100
LAS VEGAS, NV
ZIP 89121-044
Phone: (702) 433-6100
Fax: (702) 433-9576

The provider's authorized official is Michael Allen Baron .
The authorized official title is Manager Of General Partner and has the following contact phone number (702) 433-6100.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 10/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology2000048426NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CH8922MEDICARE PINNEVADA
2WCHMKMEDICARE PINNEVADA
3716409MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.