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Contact Information

QUALITY MEDICAL IMAGING OF NEVADA LLC.
2490 PROFESSIONAL CT
SUITE 110
LAS VEGAS, NV89128-0825
 Phone: 702-839-1133
 Fax: 702-851-1616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
Indicates primary specialty

NPI Profile & details for QUALITY MEDICAL IMAGING OF NEVADA LLC.

NPI # 1104823368
LBN Legal business name QUALITY MEDICAL IMAGING OF NEVADA LLC.
Authorized official ROGER FASELT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2005
Last updated 05/25/2016 - About 10 years ago
Identifiers
NV License # LLC5073-2001
NV Medicaid 002702036
NV Other 630001670 RAILROAD MEDICARE ID
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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