Medical Diagnostic Service

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

MEDICAL DIAGNOSTIC SERVICE

Doing business as

Nevada Physician Imaging

Practice address

700 E Warm Springs Rd
301
Las Vegas, NV 89119-4305

Phone

(702) 318-2484

Fax

(702) 932-8587

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Malissa Thatcher

Title

Credentialing Specialist

Phone

(702) 932-8547

Specialties & licenses 2

Addresses

Other names 1

• Nevada Physician Imaging Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose A Hettinga, APN

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1912965278
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1235344516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CORPORATE CIR",
            "address_2": "190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747724",
            "telephone_number": "702-318-2484",
            "fax_number": "702-932-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E WARM SPRINGS RD",
            "address_2": "301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194305",
            "telephone_number": "702-318-2484",
            "fax_number": "702-932-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "MALISSA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-932-8547"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Physician Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Chiropractic Hospital
• Medical Concepts LLC
• Medical Consultant Services LLC
• Medical Credentialing Solutions LLC
• Medical Development Company of Nevada
• Medical Diagnostic Services, Inc.
• Medical Diagnostic Services, Inc.
• Medical Dietitian Consultants LLC
• Medical Electronics, Inc
• Medical Group at Sun City Hospitalists Najmi PC

• Body Imaging Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Body Imaging Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.