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LAS VEGAS RADIOLOGY LLC NPI 1063534923


NPI Information

NPI: 1063534923
Provider Name: LAS VEGAS RADIOLOGY LLC

Doing Business As: LAS VEGAS RADIOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 29D0887993

Address:
7500 SMOKE RANCH RD.
STE. 100
LAS VEGAS, NV
ZIP 89128
Phone: (702) 254-5004
Get Directions

LAS VEGAS RADIOLOGY LLC 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. LAS VEGAS RADIOLOGY LLC NPI is 1063534923. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Las Vegas Radiology.

The provider's business location address is:

7500 SMOKE RANCH RD.
STE. 100
LAS VEGAS, NV
ZIP 89128
Phone: (702) 254-5004
Fax: (702) 432-4005

The provider's authorized official is Prem K Kittusamy .
The authorized official title is President and has the following contact phone number (702) 254-5004.

The CLIA number assigned to this NPI record is 29D0887993 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.


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 RadiologyPENDINGNEVADAYes

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

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