# WEST COAST HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1437434321
- **Authorized official:** MR. TRUMAN LORENZO THOMPSON (PRESIDENT)
- **Authorized official phone:** (702) 789-8096

## Contact information

- **Practice address:** 10217 MADISON GROVE AVENUE, LAS VEGAS, NV 89166-5266
- **Practice address phone:** (702) 789-8096
- **Practice address fax:** (702) 430-6698
- **Mailing address:** 10217 MADISON GROVE AVENUE, LAS VEGAS, NV 89166-5266
- **Mailing address phone:** (702) 789-8096
- **Mailing address fax:** (702) 380-8187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | 1008178853-001 | NV | Yes |
| 305S00000X | Point of Service | 1008178853-001 | NV | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1008178853-001 | NV | — |

## Other

- **Enumeration date:** 10/11/2011
- **Last updated:** 11/03/2016