Organization
PARKWAY IMAGING CENTER LLC
Active
Other names
INSIGHT IMAGING - PARKWAY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
(949) 282-6000
Entity
Organization
Contact information
Practice address
100 N GREEN VALLEY PKWY, STE 130, HENDERSON, NV 89074-6391
(702) 990-7419
(702) 990-7418
Mailing address
FILE 57174, LOS ANGELES, CA 90074-7174
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002702027
—
NV
Enumeration date
04/18/2006
Last updated
05/01/2008
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