ATA GROUP LV (NPI# 1619593621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619593621 |
| Entity Type | Organization |
| Organization Name | ATA GROUP LV |
| Practice Address |
10170 W Tropicana Ave Ste 156-211 Las Vegas NV 89147 |
| Practice Telephone | 7029455071 |
| Mailing Telephone | 7029455071 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | MR. TIGRAN AVETISYAN (PRESIDENT) |
| Authorized Official Telephone | 7029455071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | CLARK COUNTY BUSINESS LICENSE | 2006236-062-101 | 01 |
| Street Address |
10170 W TROPICANA AVE STE 156-211 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| 1154725851 | Rosemary Wilson-melton | Behavioral Analyst | 7400 W Flamingo Rd #1079, Las Vegas, NV 89147 | 2014-10-09 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740689470 | Direct Mobile Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3320 N Buffalo Dr Ste 202, Las Vegas, NV 89129-7411 | 2014-08-19 |
| 1811210289 | Kan-di-ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7355 Prairie Falcon Rd, Las Vegas, NV 89128-0801 | 2010-03-12 |
| 1609853555 | Mobile Radiology & Ekg of Nevada, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1050 E Flamingo Rd, Suite N-138 Box 110, Las Vegas, NV 89119-7427 | 2005-12-30 |
| 1104823368 | Quality Medical Imaging of Nevada LLC. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2490 Professional Ct, Suite 110, Las Vegas, NV 89128-0825 | 2005-07-02 |
| 1699399576 | Prestige Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2950 E Flamingo Rd Ste E, Las Vegas, NV 89121-5208 | 2020-06-05 |
| 1194373522 | Prestige Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2950 E Flamingo Rd Ste E, Las Vegas, NV 89121-5208 | 2019-08-28 |
| 1063890564 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6000 S Eastern Ave, Suite 1-b, Las Vegas, NV 89119-3125 | 2015-05-15 |
| 1578972790 | Colmed Laboratories & Radiology, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6392 Mcleod Dr Ste 3, Las Vegas, NV 89120-4417 | 2014-08-13 |
| 1467610212 | Quality Medical Imaging of California, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2490 Professional Ct, Las Vegas, NV 89128-0835 | 2008-05-29 |
| 1396903191 | Quality Medical Imaging of California Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2490 Professional Ct, Las Vegas, NV 89128-0835 | 2008-05-28 |
| Find all providers in LAS VEGAS | ||||
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| 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.