Organization
SACRED HEART DIAGNOSTICS CENTER, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TERESA C. CARANDANG (PRESIDENT)
(702) 524-1186
Entity
Organization
Contact information
Practice address
4440 E WASHINGTON AVE, STE 109, LAS VEGAS, NV 89110-5792
(702) 524-1186
(702) 341-0638
Mailing address
4440 E WASHINGTON AVE, STE 109, LAS VEGAS, NV 89110-5792
(702) 524-1186
(702) 341-0638
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265154
BUSINESS LICENSE
NV
Enumeration date
03/30/2007
Last updated
08/22/2020
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