CHW Nevada Imaging Company LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

CHW NEVADA IMAGING COMPANY LLC

Doing business as

Nevada Imaging Centers--Peccole Ranch

Practice address

9499 W Charleston Blvd
Suite 100
Las Vegas, NV 89117-7147

Phone

(702) 891-9729

NPI assigned

Oct 24, 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--Peccole Ranch Doing business as

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1720231533",
    "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": "9499 W CHARLESTON BLVD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177147",
            "telephone_number": "702-891-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHW NEVADA IMAGING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "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": "RAILROAD",
            "identifier": "P00731251",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Imaging Centers--Peccole Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mammography Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, 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.