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Contact Information

DIAGNOSTICAID
500 N RAINBOW BLVD STE 300
LAS VEGAS, NV89107-1061
 Phone: 702-807-7443
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DIAGNOSTICAID

NPI Number 1740688100
LBN Legal business name DIAGNOSTICAID
Authorized official MARIA BROWN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2014
Last updated 12/16/2014 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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