Red Rock At Maryland Parkway LLC
Clinic/Center, Radiology in Las Vegas, NV. Organization (NPI-2).
NPI number1992811491
StatusActive
Last updated in NPPESSep 6, 2007
Details
- NPI
- 1992811491
- Entity type
- Organization (NPI-2)
- Legal business name
- Red Rock At Maryland Parkway LLC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Sep 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
| 261QM1200X | Clinic/Center, Magnetic Resonance Imaging (MRI) | – | – | |
| 261QR0206X | Clinic/Center, Radiology, Mammography | – | – |
Practice location
3061 South Maryland ParkwaySte 102
Las Vegas, NV 89109-2298
Phone 702-942-4119 · Fax 702-942-4134
Mailing address
3061 South Maryland ParkwaySte 102
Las Vegas, NV 89109-2298
Phone 702-942-4119 · Fax 702-942-4134
Authorized official
Lavelle Hardin
Credentialing Coordinator
6153448203
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