LAS VEGAS RADIOLOGY – NPI #1063534923
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

LAS VEGAS RADIOLOGY is a radiologist located in LAS VEGAS, NV. NPPES has assigned the NPI number 1063534923 to LAS VEGAS RADIOLOGY on April 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAS VEGAS RADIOLOGY” is a dba name, the actual legal business name for this organization is LAS VEGAS RADIOLOGY LLC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 LAS VEGAS RADIOLOGY below.

NPI Profile for
LAS VEGAS RADIOLOGY LLC

NPI Number
1063534923
Enumeration Date

(more than 19 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
LAS VEGAS RADIOLOGY LLC
Doing Business As (dba): LAS VEGAS RADIOLOGY
Primary location
7500 SMOKE RANCH RD.
STE. 100
LAS VEGAS, NV 89128
Phone: (702) 254-5004 Fax: (702) 432-4005
Mailing address
9811 W CHARLESTON BLVD
#2542
LAS VEGAS, NV 89117-7528
Phone: (702) 254-5004 Fax: (702) 432-4005
Organization Subpart
No
Authorized Official
PREM KITTUSAMY
PRESIDENT
Phone: (702) 254-5004
Updated
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
NV PENDING

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.