MANTRO MOBILE IMAGING LLC NPI 1285789370

NPI Information

NPI: 1285789370
Provider Name: MANTRO MOBILE IMAGING LLC
Classification: Radiologic Technologist - 2471C3402X
Entity Type: Organization

Specialization: Radiography

Address:
8778 S MARYLAND PKWY
SUITE 105
LAS VEGAS, NV
ZIP 89123
Phone: (702) 896-0473
Get Directions

MANTRO MOBILE IMAGING LLC is a radiography radiologic technologist in Las Vegas, NV. MANTRO MOBILE IMAGING LLC NPI is 1285789370. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8778 S MARYLAND PKWY
SUITE 105
LAS VEGAS, NV
ZIP 89123-704
Phone: (702) 896-0473
Fax: (702) 586-0528

The provider's authorized official is Kenneth Roger Chapman .
The authorized official title is Owner/manager and has the following contact phone number (702) 896-0473.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 9/26/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2471C3402X	Radiologic Technologist	Radiography	2000422.320	NEVADA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	29X0009810	MEDICAID	NEVADA
2	29X0009810	MEDICARE PIN	NEVADA

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: 11/14/2023

NPI Synchronization or Removal

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