AXIOM IMAGING OF LAS VEGAS LLC (NPI# 1346312642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346312642 |
| Entity Type | Organization |
| Organization Name | AXIOM IMAGING OF LAS VEGAS LLC |
| Practice Address |
6460 Medical Center St Ste. 150 Las Vegas NV 89148-2406 |
| Practice Telephone | 7028682781 |
| Practice Fax Number | 7028682782 |
| Mailing Telephone | 7028682781 |
| Mailing Fax Number | 7028682782 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-12-03 |
| Authorized Official Name | MR. MARK SORIANO (FACILITY MANAGER) |
| Authorized Official Telephone | 7028682781 |
| Authorized Official Credential | R.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Street Address |
6460 MEDICAL CENTER ST STE. 150 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912790 | Michelle Bastarache | Nurse Practitioner | 6460 Medical Center St, Las Vegas, NV 89148-2406 | 2020-11-07 |
| 1114470614 | American Radiology LLC | Clinic/Center | 6460 Medical Center St, Ste 150, Las Vegas, NV 89148-2406 | 2016-08-01 |
| 1881967628 | Johnson Implant Dentisrty Associates | Dentist | 6460 Medical Center St, Suite 300, Las Vegas, NV 89148-2406 | 2012-02-09 |
| 1740516699 | Fife Dermatology, P.C. | Dermatology | 6460 Medical Center St, Ste 350, Las Vegas, NV 89148-2406 | 2009-10-28 |
| 1841461597 | Southern Hills Orthodontics, Inc. | Dentist | 6460 Medical Center St, Suite 210, Las Vegas, NV 89148-2421 | 2008-03-20 |
| 1225228034 | Douglas Jackson Fife | Specialist | 6460 Medical Center St, Suite 350, Las Vegas, NV 89148 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326150699 | Mobileview Diagnostics LLC | Clinic/Center | 6851 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2006-08-31 |
| 1306954904 | Red Rock At Smoke Ranch, LLC | Clinic/Center | 7130 Smoke Ranch, Las Vegas, NV 89128-8391 | 2006-08-25 |
| 1992811491 | Red Rock At Maryland Parkway LLC | Clinic/Center | 3061 South Maryland Parkway, Ste 102, Las Vegas, NV 89109-2298 | 2006-08-21 |
| 1205857232 | Open Sided Mri of Las Vegas, LLC | Clinic/Center | 600 S Rancho Dr Ste 101, Las Vegas, NV 89106-4806 | 2006-07-23 |
| 1477749356 | Best Diagnostic Medical Imaging Center | Clinic/Center | 5240 S Eastern Ave, Suite A, Las Vegas, NV 89119-2306 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215225578 | Msa Imaging LLC | Clinic/Center | 10561 Jeffreys St, Suite 111, Henderson, NV 89052-4266 | 2011-07-20 |
Please comment or provide details below to improve the information on AXIOM IMAGING OF LAS VEGAS LLC.
| 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.