Organization Active NPI

Foreshadow Industries LLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1114767811
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FORESHADOW INDUSTRIES LLC
Doing business as
Dexafit Las Vegas
Practice address
6883 W Charleston Blvd
Las Vegas, NV 89117-1645
Phone
(702) 833-0430
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Nathan Gelinas
Title
Owner
Phone
(725) 724-2652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

6883 W Charleston Blvd
Las Vegas, NV 89117-1645

Mailing address

5240 Sunny Beach LN
Las Vegas, NV 89118-1390
Phone (725) 724-2652

Other names 1

  • Dexafit Las Vegas Doing business as

National Provider Directory

National Provider Directory

Locations

6883 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 586-1410

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1114767811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 SUNNY BEACH LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181390",
            "telephone_number": "725-724-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6883 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171645",
            "telephone_number": "702-833-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORESHADOW INDUSTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "GELINAS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-724-2652"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dexafit Las Vegas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 29, 2024; 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.