NPIMap

Organization Active NPI

Open Sided MRI of Las Vegas, LLC

Doing business as Henderson Medical Imaging

  • Diagnostic Radiology Physician
  • Henderson, NV
National Provider Identifier
1962119941
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
OPEN SIDED MRI OF LAS VEGAS, LLC
Doing business as
Henderson Medical Imaging
Practice address
3175 Saint Rose Pkwy Ste 130
Henderson, NV 89052-3507
Phone
(702) 932-2740
Fax
(702) 932-2739
NPI assigned
Oct 31, 2022
Organization subpart
Yes
Parent organization
OPENSIDED MRI OF LAS VEGAS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
John Steven Platusic
Title
Chief Operations Officer
Phone
(804) 363-1007

Specialties & licenses 1

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

Addresses

Primary practice location

3175 Saint Rose Pkwy Ste 130
Henderson, NV 89052-3507

Mailing address

600 S Rancho Dr Ste 101
Las Vegas, NV 89106-4806
Phone (702) 932-2740

Other identifiers 1

IdentifierTypeStateIssuer
002702170MedicaidNV

Other names 1

  • Henderson Medical Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230516000113 NV Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5698662971 Practice locations: Henderson, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Open Sided MRI of Las Vegas LLC

Locations

3175 Saint Rose Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 932-2740

600 S Rancho Dr
Ste 101
Las Vegas, NV 89106
Phone (702) 258-0040

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1962119941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S RANCHO DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064806",
            "telephone_number": "702-932-2740",
            "fax_number": "702-932-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 SAINT ROSE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523507",
            "telephone_number": "702-932-2740",
            "fax_number": "702-932-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN SIDED MRI OF LAS VEGAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPENSIDED MRI OF LAS VEGAS, LLC",
        "enumeration_date": "2022-10-31",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "PLATUSIC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "804-363-1007"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002702170",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.