American Radiology LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

NV19961142712 Issued in NV

Legal business name

AMERICAN RADIOLOGY LLC

Practice address

6460 Medical Center St
Ste 150
Las Vegas, NV 89148-2406

Phone

(702) 320-8111

Fax

(702) 320-8112

NPI assigned

Aug 1, 2016

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rosa Gonzalez

Title

Credentialing Coordinator

Phone

(702) 839-4821

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1114470614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 SMOKE RANCH RD",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-320-8111",
            "fax_number": "702-320-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST",
            "address_2": "STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482406",
            "telephone_number": "702-320-8111",
            "fax_number": "702-320-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "702-839-4821"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NV",
            "license": "NV19961142712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.