Active NPI
Foreshadow Industries LLC
- Diagnostic Radiology Physician
- Las Vegas, NV
National Provider Identifier
1114767811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.