Organization
QUALITY MEDICAL IMAGING OF NEVADA LLC.
Active
Other names
Quality Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER C FASELT (PRESIDENT)
(702) 839-1133
Entity
Organization
Contact information
Practice address
2490 PROFESSIONAL CT, SUITE 110, LAS VEGAS, NV 89128-0825
(702) 839-1133
(702) 851-1616
Mailing address
2490 PROFESSIONAL CT, SUITE 110, LAS VEGAS, NV 89128-0825
(702) 839-1133
(702) 851-1616
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
LLC5073-2001
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002702036
—
NV
01
—
630001670
RAILROAD MEDICARE ID
NV
Enumeration date
07/02/2005
Last updated
05/25/2016
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