# RED ROCK AT SMOKE RANCH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306954904
- **Authorized official:** LAVELLE HARDIN (PRESIDENT)
- **Authorized official phone:** (615) 344-8203

## Contact information

- **Practice address:** 7130 SMOKE RANCH, LAS VEGAS, NV 89128-8391
- **Practice address phone:** (707) 588-7999
- **Practice address fax:** (702) 256-0809
- **Mailing address:** 7130 SMOKE RANCH, LAS VEGAS, NV 89128-8391
- **Mailing address phone:** (707) 588-7999
- **Mailing address fax:** (702) 256-0809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 09/06/2007