# RED ROCK AT MARYLAND PARKWAY LLC

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

## Provider details

- **NPI number:** 1992811491
- **Authorized official:** LAVELLE HARDIN (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (615) 344-8203

## Contact information

- **Practice address:** 3061 SOUTH MARYLAND PARKWAY, STE 102, LAS VEGAS, NV 89109-2298
- **Practice address phone:** (702) 942-4119
- **Practice address fax:** (702) 942-4134
- **Mailing address:** 3061 SOUTH MARYLAND PARKWAY, STE 102, LAS VEGAS, NV 89109-2298
- **Mailing address phone:** (702) 942-4119
- **Mailing address fax:** (702) 942-4134

## 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:** 08/21/2006
- **Last updated:** 09/06/2007