Organization
RED ROCK AT SMOKE RANCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVELLE HARDIN (PRESIDENT)
(615) 344-8203
Entity
Organization
Contact information
Practice address
7130 SMOKE RANCH, LAS VEGAS, NV 89128-8391
(707) 588-7999
(702) 256-0809
Mailing address
7130 SMOKE RANCH, LAS VEGAS, NV 89128-8391
(707) 588-7999
(702) 256-0809
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
08/25/2006
Last updated
09/06/2007
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