ADVANCED MOLECULAR PET IMAGING LLC – NPI #1497360648
Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

ADVANCED MOLECULAR PET IMAGING LLC is a physiological laboratory located in LAS VEGAS, NV. NPPES has assigned the NPI number 1497360648 to ADVANCED MOLECULAR PET IMAGING LLC on September 14, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was last updated on Sep 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED MOLECULAR PET IMAGING LLC below.

NPI Profile for
ADVANCED MOLECULAR PET IMAGING LLC

NPI Number
1497360648
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED MOLECULAR PET IMAGING LLC
Primary location
5785 S FORT APACHE RD
LAS VEGAS, NV 89148-5659
Phone: (725) 258-6793 Fax: (725) 258-6794
2 Other location(s):
1648 Highway 95
Bullhead City, AZ 86442-7906
Phone: (725) 258-6793
Fax: (725) 258-6794
890 Airway Ave
Kingman, AZ 86409-3588
Phone: (725) 258-6793
Fax: (725) 258-6794
Mailing address
4200 W RUSSELL RD STE 110
LAS VEGAS, NV 89118-2365
Phone: (725) 258-6793 Fax: (725) 258-6794
Organization Subpart
No
Authorized Official
JAMES BALLOW
AUTHORIZED OFFICIAL
Phone: (725) 258-6793
Updated
Certification Date
Sep 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.