Organization
LAS VEGAS RADIOLOGY LLC
Active
Organization
LAS VEGAS RADIOLOGY LLC
Active
Other names
Las Vegas Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
PREM K KITTUSAMY M.D. (PRESIDENT)
(702) 254-5004
Entity
Organization
Contact information
Practice address
7500 SMOKE RANCH RD., STE. 100, LAS VEGAS, NV 89128
(702) 254-5004
(702) 432-4005
Mailing address
9811 W CHARLESTON BLVD, #2542, LAS VEGAS, NV 89117-7528
(702) 254-5004
(702) 432-4005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
PENDING
NV
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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