Southwest Physician Medical Diagnostic Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

8323 Issued in NV

Legal business name

SOUTHWEST PHYSICIAN MEDICAL DIAGNOSTIC CENTER

Practice address

7341 W Charleston Blvd Ste 170
Las Vegas, NV 89117-1578

Phone

(702) 302-1460

NPI assigned

Aug 18, 2017

Organization subpart

No

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

Authorized official

Name

Lauren Minter

Title

Agent

Phone

(702) 256-3637

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1467978692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370127",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 W CHARLESTON BLVD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171578",
            "telephone_number": "702-302-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PHYSICIAN MEDICAL DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MINTER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "702-256-3637"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "8323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Medical Associates, Inc
• Southwest Medical Associates, Inc
• Southwest Medical Associats, Inc
• Southwest Medical Supply, Inc
• Southwest Pharmacy LLC
• Southwest Physicians Group LLC
• Southwest Prestige Pediatrics & Aesthetics PLLC
• Southwest Rehabilitation Physicians & Farhang Associates PLLC
• Southwest Skin & Laser Center, Inc.
• Southwest Specialty Pharmacy LLC

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.