Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Magnetic Resonance Imaging (MRI) |
261QM1200X |
| NPI # | 1205857232 |
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| LBN Legal business name | OPEN SIDED MRI OF LAS VEGAS, LLC | ||||||||
| Authorized official | JOHN PLATUSIC - (COO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/23/2006 | ||||||||
| Last updated | 04/08/2021 - About 5 years ago | ||||||||
| Identifiers |
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