JLM Imaging LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

JLM IMAGING LLC

Practice address

2123 Civic Center Dr
N Las Vegas, NV 89030-6327

Phone

(702) 333-0110

NPI assigned

Jan 3, 2023

Last updated

Jan 3, 2023By 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

Jimmy L MathisNPI 1720709397

Title

Owner

Phone

(702) 333-0110

Specialties & licenses 1

Addresses

Tax ID family

JLM Imaging LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JLM Imaging LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Las Vegas, NV
  • NPI 1851001291
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jimmy L Mathis

  • Diagnostic Ultrasound Physician
  • N Las Vegas, NV
  • NPI 1720709397
  NPD Authorized official

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1326751512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 CIVIC CENTER DR",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306327",
            "telephone_number": "702-333-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 CIVIC CENTER DR",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306327",
            "telephone_number": "702-333-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLM IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-333-0110"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.