NPIMap

Organization Active NPI

West Valley Imaging Limited

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1043236102
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6453 Issued in NV
Legal business name
WEST VALLEY IMAGING LIMITED
Practice address
3025 S Rainbow Blvd
Las Vegas, NV 89146-6582
Phone
(702) 222-3544
Fax
(702) 889-0422
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Lee Boren, M.D.
Title
Radiologist/Managing Partner
Phone
(702) 222-3544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 6453 NV Primary

Addresses

Primary practice location

3025 S Rainbow Blvd
Las Vegas, NV 89146-6582

Mailing address

3025 S Rainbow Blvd
Las Vegas, NV 89146-6582
Phone (702) 222-3544

Other identifiers 1

IdentifierTypeStateIssuer
2019306MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1043236102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466582",
            "telephone_number": "702-222-3544",
            "fax_number": "702-889-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466582",
            "telephone_number": "702-222-3544",
            "fax_number": "702-889-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY IMAGING LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "RADIOLOGIST/MANAGING PARTNER",
        "authorized_official_telephone_number": "702-222-3544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "6453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019306",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.