West Coast Healthcare, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

1008178853-001 Issued in NV

Legal business name

WEST COAST HEALTHCARE, LLC

Practice address

10217 Madison Grove Avenue
Las Vegas, NV 89166-5266

Phone

(702) 789-8096

Fax

(702) 430-6698

NPI assigned

Oct 11, 2011

Last updated

Nov 3, 2016By 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

Mr. Truman Lorenzo ThompsonNPI 1306121108

Title

President

Phone

(702) 789-8096

Specialties & licenses 3

Addresses

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.

• Truman Lorenzo Thompson, ARDMS

  • Vascular Sonography Radiologic Technologist
  • Las Vegas, NV
  • NPI 1306121108
  NPD (past) Authorized official

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1437434321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 MADISON GROVE AVENUE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665266",
            "telephone_number": "702-789-8096",
            "fax_number": "702-380-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 MADISON GROVE AVENUE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665266",
            "telephone_number": "702-789-8096",
            "fax_number": "702-430-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TRUMAN",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-789-8096",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NV",
            "license": "1008178853-001",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NV",
            "license": "1008178853-001",
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NV",
            "license": "1008178853-001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mobile Radiology Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.