Organization
MANTRO MOBILE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MISSIG (PRESIDENT/CEO)
(434) 989-8851
Entity
Organization
Contact information
Practice address
8778 S MARYLAND PKWY, SUITE 105, LAS VEGAS, NV 89123-6704
(702) 896-0473
(702) 586-0528
Mailing address
8778 S MARYLAND PKWY, SUITE 105, LAS VEGAS, NV 89123-6704
(702) 896-0473
(702) 586-0528
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
2000422.320
NV
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29X0009810
—
NV
Enumeration date
01/25/2007
Last updated
05/23/2025
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