Portable X Ray Of Arizona Llc in Las Vegas - Diagnostic Ultrasound

Portable X Ray Of Arizona Llc - NPI 1659404176

Portable X Ray Of Arizona Llc is a Diagnostic Ultrasound in Las Vegas, Nevada. Portable X Ray Of Arizona Llc practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Portable X Ray Of Arizona Llc is 1659404176. The last update date is 2007-11-15.

Portable X Ray Of Arizona Llc's current location address is 5538 Duncan Dr, Las Vegas, Nevada. You can contact this provider via phone number 7023955011 and fax number 7026452874. The mailing address for Portable X Ray Of Arizona Llc is 5538 Duncan Dr, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Organization Portable X Ray Of Arizona Llc
Address 5538 Duncan Dr, Las Vegas, Nevada
Phone Number 7023955011
Fax Number 7026452874
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Grossa Abby
Telephone Number 7023955011

NPI Number Detail

NPI Number 1659404176
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-11-15

Provider Mailing Address Detail

Address 5538 Duncan Dr
City Las Vegas
State Nevada (NV)
Post Code 891302812
Phone Number 7023955011
Fax Number 7026452874

Provider's Primary Taxonomy Detail

Speciality Diagnostic Ultrasound
Taxonomy 2085U0001X
Definition:
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
579055 AZ AHCCS
579055 AZ HEALTHCHOICE
AW2888 AZ HEALTHNET
F10081 AZ PHOENIX HEALTH PLAN
2Z1598 AZ HEALTH NET
579055 AZ --
67270 AZ SCAN
AZ0890990 AZ BLUE CROSS BLUE SHILED OF

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FAQs about Portable X Ray Of Arizona Llc

What is the unique 10-digit identification code assigned to Portable X Ray Of Arizona Llc by the Centers for Medicare & Medicaid Services?

The Portable X Ray Of Arizona Llc has been issued the NPI (National Provider Identifier) 1659404176, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Portable X Ray Of Arizona Llc's facilities are situated?

The facilities of Portable X Ray Of Arizona Llc are physically located at the following address: 5538 Duncan Dr, Las Vegas, NV, 891302812.

What is Portable X Ray Of Arizona Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Portable X Ray Of Arizona Llc is Diagnostic Ultrasound, and the corresponding taxonomy classification code for this specialized field is 2085U0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659404176 to Portable X Ray Of Arizona Llc?

The Portable X Ray Of Arizona Llc received its 1659404176 assignment from the Centers for Medicare & Medicaid Services on 2007-03-13.

As of what date were the details pertaining to Portable X Ray Of Arizona Llc last refreshed?

The information related to the Portable X Ray Of Arizona Llc, including its address, specialty, and other relevant details, was last updated on 2007-11-15.

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