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Organization
RED ROCK AT MARYLAND PARKWAY LLC
Active
Organization
RED ROCK AT MARYLAND PARKWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVELLE HARDIN (CREDENTIALING COORDINATOR)
(615) 344-8203
Entity
Organization
Contact information
Practice address
3061 SOUTH MARYLAND PARKWAY, STE 102, LAS VEGAS, NV 89109-2298
(702) 942-4119
(702) 942-4134
Mailing address
3061 SOUTH MARYLAND PARKWAY, STE 102, LAS VEGAS, NV 89109-2298
(702) 942-4119
(702) 942-4134
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
261QR0206X
Mammography Clinic/Center
—
NULL
Other
Enumeration date
08/21/2006
Last updated
09/06/2007
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