MANTRO MOBILE IMAGING LLC


Address: 8778 S Maryland Pkwy, Suite 105, Las Vegas, NV 89123-6704
Phone: 7028960473

MANTRO MOBILE IMAGING LLC (NPI# 1285789370) 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) 1285789370
Entity Type Organization
Organization Name MANTRO MOBILE IMAGING LLC
Practice Address 8778 S Maryland Pkwy
Suite 105
Las Vegas
NV 89123-6704
Practice Telephone 7028960473
Practice Fax Number 7025860528
Mailing Telephone 7028960473
Mailing Fax Number 7025860528
Enumeration Date 2007-01-25
Last Update Date 2011-09-26
Authorized Official Name MR. KENNETH ROGER CHAPMAN JR. (OWNER/MANAGER)
Authorized Official Telephone 7028960473
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471C3402X Radiologic Technologist
Specialization: Radiography
2000422.320 NV Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 29X0009810 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922416619 Mantro Mobile Imaging LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 4769 Saddletop Ridge Ln, Mason, OH 45040-3852 2014-07-26
1760725105 Mantro Mobile Imaging LLC Clinic/Center 6528 Greenleaf Ave, Ste 209, Whittier, CA 90601-4131 2013-04-04
1811272669 Mantro Mobile Imaging LLC Clinic/Center 6528 Greenleaf Ave Suite 209, Whittier, CA 90601-4131 2011-10-12
1194000943 Mantro Mobile Imaging LLC Clinic/Center 8778 S Maryland Pkwy, Suite 105, Las Vegas, NV 89123-6704 2011-10-12

Office Location

Street Address 8778 S MARYLAND PKWY
SUITE 105
City LAS VEGAS
State NV
Zip Code 89123-6704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194000943 Mantro Mobile Imaging LLC Clinic/Center 8778 S Maryland Pkwy, Suite 105, Las Vegas, NV 89123-6704 2011-10-12

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Taxonomy Information

Taxonomy Code 2471C3402X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Radiography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760644025 Quality Medical Imaging of Nevada, LLC Radiologic Technologist 2490 Professional Ct, St 110, Las Vegas, NV 89128-0835 2008-06-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881982395 Eva G Cohn Radiologic Technologist 10580 N Mccarran Blvd Ste 115, Pmb #505, Reno, NV 89503-1896 2011-07-18

Competitor

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City LAS VEGAS
Zip Code 89123

Improve Information

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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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