Portable X Ray of Southern Nevada

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

PORTABLE X RAY OF SOUTHERN NEVADA

Practice address

5488 Duncan Dr
Las Vegas, NV 89130-2812

Phone

(702) 655-0535

Fax

(702) 655-0538

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Abby Grossa

Title

Cfo

Phone

(702) 939-6559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1083692032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302812",
            "telephone_number": "702-645-2606",
            "fax_number": "702-645-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5488 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302812",
            "telephone_number": "702-655-0535",
            "fax_number": "702-655-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE X RAY OF SOUTHERN NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GROSSA",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-939-6559"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV BLUE SHIELD",
            "identifier": "NV3524",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elsa Porras
• Sabrina Porras
• Sandra Susana Porras
• Eugene G Porreca, M.D.
• Portable Imaging of Nevada LLC
• Monique Portanger, OTR/L
• Brian Porte
• Gregson Porteous, DO
• Ebony Marie Porter Nwazulu
• Kimberly Porter-Sharpley

• Mobile Radiology Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mobile Radiology Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.