# AXIOM IMAGING OF LAS VEGAS LLC

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

## Provider details

- **NPI number:** 1346312642
- **Authorized official:** MR. MARK SORIANO R.T. (FACILITY MANAGER)
- **Authorized official phone:** (702) 868-2781

## Contact information

- **Practice address:** 6460 MEDICAL CENTER ST, STE. 150, LAS VEGAS, NV 89148-2406
- **Practice address phone:** (702) 868-2781
- **Practice address fax:** (702) 868-2782
- **Mailing address:** 6460 MEDICAL CENTER ST, STE. 150, LAS VEGAS, NV 89148-2406
- **Mailing address phone:** (702) 868-2781
- **Mailing address fax:** (702) 868-2782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 12/03/2007