PUEBLO MEDICAL IMAGING, LLC – NPI #1952353591
Radiology

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

PUEBLO MEDICAL IMAGING, LLC is a radiologist located in LAS VEGAS, NV. NPPES has assigned the NPI number 1952353591 to PUEBLO MEDICAL IMAGING, LLC on May 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 3 years ago on Jun 28, 2023. 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 PUEBLO MEDICAL IMAGING, LLC below.

NPI Profile for
PUEBLO MEDICAL IMAGING, LLC

NPI Number
1952353591
Enumeration Date

(more than 20 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
PUEBLO MEDICAL IMAGING, LLC
Primary location
5495 S RAINBOW BLVD STE 101
LAS VEGAS, NV 89118-1872
Phone: (702) 228-0031 Fax:
Mailing address
PO BOX 30077
DEPT 306
SALT LAKE CITY, UT 84130-0077
Phone: (702) 228-0031 Fax:
Organization Subpart
No
Authorized Official
MICAH NIELSEN
PRESIDENT
Phone: (702) 477-0772
Updated
Certification Date
Jun 28, 2023

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.

Identifiers

Identifiers for PUEBLO MEDICAL IMAGING, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS OF NVNVNV1651
medicaidNV100500056
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)
2085N0700X
- Radiology / Neuroradiology

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.