Organization
DIAGNOSTIC IMAGING OF SOUTHERN NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALLEN BARON M.D. (MANAGER OF GENERAL PARTNER)
(702) 433-6100
Entity
Organization
Contact information
Practice address
3560 E FLAMINGO RD, SUITE 100, LAS VEGAS, NV 89121-5044
(702) 433-6100
(702) 433-9576
Mailing address
3560 E FLAMINGO RD, SUITE 100, LAS VEGAS, NV 89121-5044
(702) 433-6100
(702) 433-9576
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2000048426
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716409
—
AZ
Enumeration date
07/13/2005
Last updated
10/16/2007
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