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ONE SOURCE DIAGNOSTIC LLC NPI 1477598266


NPI Information

NPI: 1477598266
Provider Name: ONE SOURCE DIAGNOSTIC LLC
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
11 W PACIFIC AVE
HENDERSON, NV
ZIP 89015
Phone: (702) 568-6433
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ONE SOURCE DIAGNOSTIC LLC is a portable x ray and or other portable diagnostic imaging supplier in Henderson, NV. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. ONE SOURCE DIAGNOSTIC LLC NPI is 1477598266. The provider is registered as an organization entity type.

The provider's business location address is:

11 W PACIFIC AVE
HENDERSON, NV
ZIP 89015-304
Phone: (702) 568-6433
Fax: (702) 568-6299

The provider's authorized official is Rosa Diaz Padilla .
The authorized official title is Managing Director and has the following contact phone number (702) 568-0007.

The enumeration date for this NPI number is 6/17/2006 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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier1003036295NEVADAYes

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
11003036295OTHERNEVADANV STATE BUSINESS LICENSE

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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