NPIMap

Organization Active NPI

New Image Medical Network, L.L.C.

  • Physiological Laboratory
  • Las Vegas, NV
National Provider Identifier
1760762066
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NEW IMAGE MEDICAL NETWORK, L.L.C.
Practice address
3481 E Sunset Rd
Suite 100-I
Las Vegas, NV 89120-3228
Phone
(702) 750-2770
Fax
(702) 750-2771
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Michael L Bradley Jr.
Title
President
Phone
(310) 435-0644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

3481 E Sunset Rd
Suite 100-I
Las Vegas, NV 89120-3228

Mailing address

3481 E Sunset Rd
Suite 100-I
Las Vegas, NV 89120-3228
Phone (702) 750-2770

National Provider Directory

National Provider Directory

Locations

3481 E Sunset Rd
Ste 100I
Las Vegas, NV 89120
Phone (702) 750-2770

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1760762066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 E SUNSET RD",
            "address_2": "SUITE 100-I",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203228",
            "telephone_number": "702-750-2770",
            "fax_number": "702-750-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 E SUNSET RD",
            "address_2": "SUITE 100-I",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203228",
            "telephone_number": "702-750-2770",
            "fax_number": "702-750-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE MEDICAL NETWORK, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-435-0644",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.