Medical Diagnostic Services, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MEDICAL DIAGNOSTIC SERVICES, INC.

Doing business as

Nevada Physicians Imaging

Practice address

4275 Burnham Ave
#127B
Las Vegas, NV 89119-6541

Phone

(702) 448-8457

Fax

(702) 448-8486

NPI assigned

May 9, 2006

Last updated

Sep 29, 2009By 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

Greg Christopherson

Title

Operations Director

Phone

(702) 940-2629

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nevada Physicians Imaging Doing business as

Locations

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1740239680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 MOUNTAIN VISTA ST.",
            "address_2": "SUITE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142631",
            "telephone_number": "702-940-2650",
            "fax_number": "702-933-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE",
            "address_2": "#127B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196541",
            "telephone_number": "702-448-8457",
            "fax_number": "702-448-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHERSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "702-940-2629"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740239680",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Physicians Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Dietitian Consultants LLC
• Medical Electronics, Inc
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• Medical Group at Sun City, LLP
• Medical Group LLC

• Radiology Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Radiology Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.