Northstar Imaging, Inc.
Organization Active NPI Diagnostic Radiology Physician · Ely, NV
NPI 1306007141 · NPPES record last updated Jul 18, 2014
Key facts
- NPI
- 1306007141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- NORTHSTAR IMAGING, INC.
- Practice address
- 1500 Avenue H
Ely, NV 89301-2615 - Phone
- (775) 289-3001
- NPI assigned
- Jun 24, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Leckie, MD
- Title
- Treasurer
- Phone
- (775) 813-8054
National Provider Directory
Locations
1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
1500 Avenue H
Ely, NV 89301-2615
Mailing address
PO Box 32936
Knoxville, TN 37930-2936
Phone (877) 905-6553
Other providers in Ely, NV
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All providers in Ely, NV · Diagnostic Radiology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.