# PRESTIGE ULTRASOUND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prestige Ultrasound
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194373522
- **Authorized official:** MANUEL CARRANZA (CEO)
- **Authorized official phone:** (702) 423-0011

## Contact information

- **Practice address:** 3945 W CHEYENNE AVE STE 203, N LAS VEGAS, NV 89032-8902
- **Practice address phone:** (702) 423-0011
- **Practice address fax:** (702) 628-9996
- **Mailing address:** 3945 W CHEYENNE AVE STE 203, N LAS VEGAS, NV 89032-8902
- **Mailing address phone:** (702) 423-0011
- **Mailing address fax:** (702) 628-9996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | — |

## Other

- **Enumeration date:** 08/28/2019
- **Last updated:** 03/22/2023