Jody Randell Cearlock in Las Vegas - Diagnostic Radiology

Jody Randell Cearlock - NPI 1245230713

Jody Randell Cearlock is a Diagnostic Radiology in Las Vegas, Nevada. Jody Randell Cearlock practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jody Randell Cearlock is 1245230713. The last update date is 2010-12-03.

Jody Randell Cearlock's current location address is Po Box 36900, Las Vegas, Nevada. You can contact this provider via phone number 7027326000 and fax number 7022437531. The mailing address for Jody Randell Cearlock is Po Box 36900, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Jody Randell Cearlock
Address Po Box 36900, Las Vegas, Nevada
Phone Number 7027326000
Fax Number 7022437531
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1245230713
Provider Enumeration Date 2005-07-27
Last Updated Date 2010-12-03

Provider Mailing Address Detail

Address Po Box 36900
City Las Vegas
State Nevada (NV)
Post Code 891336900
Phone Number 7027326000
Fax Number 7022437531

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 8471
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200262814 NV --

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FAQs about Jody Randell Cearlock

What is the Jody Randell Cearlock's 1245230713?

The Jody Randell Cearlock's NPI (National Provider Identifier) Number is 1245230713. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jody Randell Cearlock is located?

The Jody Randell Cearlock is situated at the following address: Po Box 36900, Las Vegas, NV, 891336900.

What is Jody Randell Cearlock's area of expertise and its corresponding taxonomy classification?

The Jody Randell Cearlock's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jody Randell Cearlock receive the assignment of its 1245230713 from the Centers for Medicare & Medicaid Services?

The Jody Randell Cearlock was issued its 1245230713 by the Centers for Medicare & Medicaid Services on 2005-07-27.

When was the information regarding Jody Randell Cearlock most recently updated?

The details pertaining to the Jody Randell Cearlock, including its address, specialty, and other relevant information, were last refreshed on 2010-12-03.

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