Advanced Molecular Pet Imaging LLC

Key facts

NPI

1497360648

Entity type

Organization (NPI type 2)

Primary specialty

Physiological Laboratory 293D00000X

Legal business name

ADVANCED MOLECULAR PET IMAGING LLC

Practice address

5785 S Fort Apache Rd
Las Vegas, NV 89148-5659

Phone

(725) 258-6793

Fax

(725) 258-6794

NPI assigned

Sep 14, 2020

Organization subpart

No

Authorized official

Name

James Ballow

Title

Authorized Official

Phone

(725) 258-6793

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salvador Garcia Borromeo III, MD Cardiovascular Disease Physician · Las Vegas, NV · NPI 1669461919
  NPD
• Richard Chen, M.D. Cardiovascular Disease Physician · Las Vegas, NV · NPI 1083617138
  NPD
• Manish P Gupta, M.D. Cardiovascular Disease Physician · Las Vegas, NV · NPI 1528250966
  NPD
• Zia Uddin Khan, MD Cardiovascular Disease Physician · Las Vegas, NV · NPI 1386633543
  NPD
• Zev Lagstein, MD Cardiovascular Disease Physician · Las Vegas, NV · NPI 1104873876
  NPD
• Irfan M Mirza, M.D. Cardiovascular Disease Physician · Pahrump, NV · NPI 1609832674
  NPD
• Chandrasekhar R. Narala, MD Cardiovascular Disease Physician · Henderson, NV · NPI 1205882339
  NPD
• Kenneth Jayendra Shah, M.D. Cardiovascular Disease Physician · Henderson, NV · NPI 1992755946
  NPD
• Sanjay Vohra, MD Cardiovascular Disease Physician · Henderson, NV · NPI 1366540973
  NPD
• Mohamed S Ahmed, M.D. Cardiovascular Disease Physician · Bullhead City, AZ · NPI 1598776270
  NPD
• Ricardo C Alfafara, M.D. Cardiovascular Disease Physician · Bullhead City, AZ · NPI 1255397709
  NPD
• Tali Huseyin Arik, MD Cardiovascular Disease Physician · Redding, CA · NPI 1295755734
  NPD
• S Ismail Ah Bokhari Sr., M.D. Cardiovascular Disease Physician · Kingman, AZ · NPI 1205050655
  NPD
• Channa B Prasad, M.D. Cardiovascular Disease Physician · Bullhead City, AZ · NPI 1477519445
  NPD
• Malik Tariq Rahim, M.D. Interventional Cardiology Physician · Bullhead City, AZ · NPI 1356542112
  NPD
• Norman K. Weinstein, M.D. Interventional Cardiology Physician · Garden City, KS · NPI 1992754360
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NV, AZ

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 23, 2025.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1497360648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182365",
            "telephone_number": "725-258-6793",
            "fax_number": "725-258-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485659",
            "telephone_number": "725-258-6793",
            "fax_number": "725-258-6794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Airway Ave",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093588",
            "country_code": "US",
            "telephone_number": "725-258-6793",
            "fax_number": "725-258-6794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1648 Highway 95",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864427906",
            "country_code": "US",
            "telephone_number": "725-258-6793",
            "fax_number": "725-258-6794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED MOLECULAR PET IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "BALLOW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "725-258-6793"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Las Vegas, NV · Physiological Laboratory in Nevada