Organization
OPEN SIDED MRI OF LAS VEGAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STEVEN PLATUSIC (COO)
(804) 363-1007
Entity
Organization
Contact information
Practice address
600 S RANCHO DR STE 101, LAS VEGAS, NV 89106-4806
(702) 932-2740
(702) 932-2739
Mailing address
600 S RANCHO DR STE 101, LAS VEGAS, NV 89106-4806
(702) 932-2740
(702) 932-2739
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
NV19961017227
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002702170
—
NV
Enumeration date
07/23/2006
Last updated
04/08/2021
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