Henderson Radiology, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

NV20181016925 Issued in NV

Legal business name

HENDERSON RADIOLOGY, INC.

Practice address

10561 Jeffreys St Ste 111
Henderson, NV 89052-4267

Phone

(702) 832-0116

NPI assigned

Mar 20, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Bledin

Title

President

Phone

(805) 494-9946

Specialties & licenses 1

Addresses

Other names 1

• Henderson Medical Imaging Doing business as

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1710481122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524267",
            "telephone_number": "702-832-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524267",
            "telephone_number": "702-832-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON RADIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "BLEDIN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-494-9946",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "NV20181016925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henderson Pediatrics PLLC
• Henderson Pediatrics, LLP
• Henderson Pharmacy LLC
• Henderson Primary, Professional LLC
• Henderson Psychiatry Corporation
• Henderson Senior Living
• Henderson Senior Living
• Henderson Specialty RX LLC
• Henderson Specialty RX LLC
• Henderson Substance Abuse Treatment Center

• Diagnostic Radiology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.