NPIMap

Organization Active NPI

Red Rock at Maryland Parkway LLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1770686271
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RED ROCK AT MARYLAND PARKWAY LLC
Practice address
3061 South Maryland Parkway
Ste 102
Las Vegas, NV 89109-2298
Phone
(702) 942-4119
Fax
(702) 942-4134
NPI assigned
Sep 7, 2006
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Lavelle Hardin
Title
Credentialing Coordinator
Phone
(615) 344-8203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3061 South Maryland Parkway
Ste 102
Las Vegas, NV 89109-2298

Mailing address

3061 South Maryland Parkway
Ste 102
Las Vegas, NV 89109-2298
Phone (702) 942-4119

National Provider Directory

National Provider Directory

Locations

3061 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 254-5437

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1770686271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 SOUTH MARYLAND PARKWAY",
            "address_2": "STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092298",
            "telephone_number": "702-942-4119",
            "fax_number": "702-942-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 SOUTH MARYLAND PARKWAY",
            "address_2": "STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092298",
            "telephone_number": "702-942-4119",
            "fax_number": "702-942-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK AT MARYLAND PARKWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LAVELLE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "615-344-8203"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "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 Sep 6, 2007; 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.