Focused Ablation Imaging

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

FOCUSED ABLATION IMAGING

Doing business as

Focused Ablation Imaging, LLC

Practice address

7170 Smoke Ranch Rd
Suite a
Las Vegas, NV 89128-1103

Phone

(303) 810-5823

Fax

(303) 698-4374

NPI assigned

Oct 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Micah Gautier

Title

Administrator

Phone

(303) 810-5823

Specialties & licenses 1

Addresses

Other names 1

• Focused Ablation Imaging, LLC Doing business as

Locations

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639269988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 S HURON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802233106",
            "telephone_number": "303-810-5823",
            "fax_number": "303-698-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 SMOKE RANCH RD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281103",
            "telephone_number": "303-810-5823",
            "fax_number": "303-698-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUSED ABLATION IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUTIER",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-810-5823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focused Ablation Imaging, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Body Imaging Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Body Imaging Physician 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.