Organization Active NPI

Parkway Imaging Center LLC

  • Physiological Laboratory
  • Henderson, NV
National Provider Identifier
1083679526
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
PARKWAY IMAGING CENTER LLC
Practice address
100 N Green Valley Pkwy
Ste 130
Henderson, NV 89074-6391
Phone
(702) 990-7419
Fax
(702) 990-7418
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mr. Brian G Drazba
Title
Senior V.P. & Chief Accounting Ofcr
Phone
(949) 282-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

100 N Green Valley Pkwy
Ste 130
Henderson, NV 89074-6391

Mailing address

File 57174
Los Angeles, CA 90074-7174
Phone (949) 282-6000

Other identifiers 1

IdentifierTypeStateIssuer
002702027MedicaidNV

Other names 1

  • INSIGHT IMAGING - PARKWAY CENTER Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2039397Pueblo Medical Imaging-Pkwy100 N Green Valley Pkwy Ste 130, Henderson, NV 89074Certificate of waiverApr 8, 2028
29D2262876Las Vegas Injury Pain Center100 N Green Valley Pkwy #225, Henderson, NV 89074Certificate of waiverJun 19, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1083679526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57174",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900747174",
            "telephone_number": "949-282-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY",
            "address_2": "STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746391",
            "telephone_number": "702-990-7419",
            "fax_number": "702-990-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "DRAZBA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SENIOR V.P. & CHIEF ACCOUNTING OFCR",
        "authorized_official_telephone_number": "949-282-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002702027",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSIGHT IMAGING - PARKWAY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.