NPIMap

Organization Active NPI

Diagnostic Center of Medicine (Allen) LLP

Doing business as Diagnostic Center of Medicine

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1619126257
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DIAGNOSTIC CENTER OF MEDICINE (ALLEN) LLP
Doing business as
Diagnostic Center of Medicine
Practice address
6301 Mountain Vista Street
Suite 108
Henderson, NV 89014
Phone
(702) 454-1322
Fax
(702) 454-1624
NPI assigned
Sep 18, 2008
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
DIAGNOSTIC CENTER OF MEDICINE (ALLEN) LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Dr. Lawrence M. Allen, M.D.NPI 1174596142
Title
Managing Partner
Phone
(702) 366-0640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

6301 Mountain Vista Street
Suite 108
Henderson, NV 89014

Mailing address

3012 S Durango Dr
Suite 2
Las Vegas, NV 89117-9186
Phone (702) 366-1655

Other identifiers 1

IdentifierTypeStateIssuer
100501975MedicaidNV

Other names 1

  • Diagnostic Center of Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic CNTR of Medicine4 organizations share this tax ID, including this one
Part of
Diagnostic CNTR of Medicine

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3012 S Durango Dr
Ste 2
Las Vegas, NV 89117
Phone (702) 483-2407

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1619126257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 S DURANGO DR",
            "address_2": "SUITE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179186",
            "telephone_number": "702-366-1655",
            "fax_number": "702-942-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MOUNTAIN VISTA STREET",
            "address_2": "SUITE 108",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-454-1322",
            "fax_number": "702-454-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC CENTER OF MEDICINE (ALLEN) LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAGNOSTIC CENTER OF MEDICINE (ALLEN) LLP",
        "enumeration_date": "2008-09-18",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-366-0640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501975",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Center of Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.