PORTABLE MEDICAL IMAGING OF NV LLC


Address: 2490 Professional Court, Suite 110, Las Vegas, NV 89128-0835
Phone: 7028391133

PORTABLE MEDICAL IMAGING OF NV LLC (NPI# 1154366177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154366177
Entity Type Organization
Organization Name PORTABLE MEDICAL IMAGING OF NV LLC
Other Organization Name QUALITY MEDICAL IMAGING
Practice Address 2490 Professional Court
Suite 110
Las Vegas
NV 89128-0835
Practice Telephone 7028391133
Practice Fax Number 7026557071
Mailing Telephone 7028391133
Mailing Fax Number 7026557071
Enumeration Date 2006-06-17
Last Update Date 2020-08-22
Authorized Official Name MR. ROGER C FASELT (PRESIDENT)
Authorized Official Telephone 7028391133
Authorized Official Credential RT RVT RDMS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
H1400062D097407 NV Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NV MEDICARE V35410 01

Other Provider/Organization Names

Other Name Type Code
Quality Medical Imaging Doing Business As Name - Organization

Office Location

Street Address 2490 PROFESSIONAL COURT
SUITE 110
City LAS VEGAS
State NV
Zip Code 89128-0835

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1508477308 Amneris Lizet Duran-brocato Technician 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 2020-08-14
1366082612 Ar Home Health Management LLC Home Health 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 2020-01-14
1114563731 Leslie A Pasternack Acupuncturist Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 2019-11-19
1154977940 Devora Susana Leon-lopez Chore Provider 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 2019-08-16
1659924884 Blanca Estela Garnica-mendez Chore Provider 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 2019-07-17
1467913160 Sherwin Necunazar Azad Student in an Organized Health Care Education/Training Program Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 2019-03-26
1962963801 Michael Richard Korczynski Student in an Organized Health Care Education/Training Program 3100 North Tenaya Way, Las Vegas, NV 89128 2019-03-25
1013477041 Yuanlong Zhao Student in an Organized Health Care Education/Training Program 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 2019-03-25
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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447893201 Av Diagnostic Corporation Clinic/Center 3311 S Rainbow Blvd Ste 140, Las Vegas, NV 89146-6208 2019-10-24
1619339355 Onsite 3d Imgaing Clinic/Center 7475 W Sahara Ave Ste 101, Las Vegas, NV 89117-2768 2016-03-22
1063530780 Mobile Healthcare Services Clinic/Center 3230 E Flamingo Rd Ste 8, Las Vegas, NV 89121-4330 2007-03-27
1710033014 Heart Technologies, Inc Clinic/Center 8010 W Sahara Ave Ste 235, Las Vegas, NV 89117-7911 2007-01-27
1538257662 Professional Medical Services Clinic/Center 10241 Juniper Creek Ln, Las Vegas, NV 89145-8831 2006-10-11
1396795969 Acoustic Imaging Inc. Clinic/Center 6230 Mcleod Dr, Ste 140, Las Vegas, NV 89120-4049 2006-05-12
1780634550 Sonic Imaging Clinic/Center 6230 Mcleod Drive, Ste 140, Las Vegas, NV 89120-4049 2006-05-11
1083692032 Portable X Ray of Southern Nevada Clinic/Center 5488 Duncan Dr, Las Vegas, NV 89130-2812 2006-01-09
1730573270 Us Mobile Imaging Clinic/Center 3320 N Buffalo Dr Ste 202, Las Vegas, NV 89129-7411 2015-03-23
1144583543 Portable Imaging of Nevada LLC Clinic/Center 3675 Pecos Mcleod, Suite 100, Las Vegas, NV 89121-3815 2012-06-20
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Competitor

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City LAS VEGAS
Zip Code 89128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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