CHW Nevada Imaging Company LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

CHW NEVADA IMAGING COMPANY LLC

Practice address

715 Mall Ring Cir
Suite 100
Henderson, NV 89014-6665

Phone

(702) 891-9729

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Rod A. Davis

Title

President

Phone

(702) 616-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nevada Imaging Centers--Galleria Doing business as

Locations

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1497908313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 S JONES BLVD",
            "address_2": "SUITE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465354",
            "telephone_number": "702-597-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MALL RING CIR",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146665",
            "telephone_number": "702-891-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHW NEVADA IMAGING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-616-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P00731251",
            "identifier": "RAILROAD",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Imaging Centers--Galleria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Marie Chura, CHW, MSW, LSW
• Jared Church, MS3
• Rebecca T Church, APN
• Brittany Diamond Churchill, APRN
• Jordan M Churchill
• CHW Nevada Imaging Company LLC
• Joseph Ciccone
• Eduardo Cintra Peraza
• Michelle J. Monique Ciolfi
• Circle Care Services NV, LLC

• Mammography Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Mammography Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.