One Source Diagnostic LLC

Primary specialty

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

License

1003036295 Issued in NV

Legal business name

ONE SOURCE DIAGNOSTIC LLC

Practice address

11 W Pacific Ave
Henderson, NV 89015-7304

Phone

(702) 568-6433

Fax

(702) 568-6299

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rosa Diaz Padilla

Title

Managing Director

Phone

(702) 568-0007

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477598266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W PACIFIC AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157304",
            "telephone_number": "702-568-6433",
            "fax_number": "702-568-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W PACIFIC AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157304",
            "telephone_number": "702-568-6433",
            "fax_number": "702-568-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "702-568-0007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NV",
            "license": "1003036295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE BUSINESS LICENSE",
            "identifier": "1003036295",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar B Cabahug MD Prof Corp
• Deanne Ting Omar, AGACNP-BC
• Heather R Omlin, COTA
• Omni Family Care LLC
• Jennifer Onaga, DO
• Rachel Ong, ND, OMD
• Colin Ono-Moore, DPT
• Ontrak, Inc.
• Open Arms Counseling LLC
• Open Arms Counseling LLC

• All providers in Henderson, NV
• 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 Aug 22, 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.