Pueblo Medical Imaging, Llc
LBN: Pueblo Medical Imaging, Llc
Pueblo Medical Imaging, Llc is an health care organization with primary practice located at 5495 S Rainbow Blvd Ste 101 , Las Vegas NV 89118-1872. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Pueblo Medical Imaging, Llc can be contacted via phone (702) 228-0031, or through Nielsen, Micah K via phone (702) 477-0772.
Contact Information
Primary practice address
5495 S Rainbow Blvd Ste 101
Las Vegas NV 89118-1872
Phone: (702) 228-0031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1952353591 |
|---|---|
| LBN Legal business name | Pueblo Medical Imaging, Llc |
| DBA Doing business as | |
| Authorized official | Nielsen, Micah K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 28th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952353591 | NPPES |
| Nevada | MEDICAID | 100500056 | |
| Nevada | Other | NV1651 |
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