Av Diagnostic Corporation

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

AV DIAGNOSTIC CORPORATION

Practice address

3311 S Rainbow Blvd Ste 140
Las Vegas, NV 89146-6208

Phone

(818) 223-7170

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Vilen Manvelyan

Title

Director

Phone

(818) 223-7171

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AV Diagnostic Doing business as

Locations

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1447893201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466208",
            "telephone_number": "818-223-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466208",
            "telephone_number": "818-223-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV DIAGNOSTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "MANVELYAN",
        "authorized_official_first_name": "VILEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-223-7171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447893201",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AV Diagnostic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AV Diagnostic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Apr 24, 2020; 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.