Organization
MEDICAL SUPPORT SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD DIVITO C.P.A., MBA (PRESIDENT/CEO)
(702) 461-6094
Entity
Organization
Contact information
Practice address
4400 NW LOOP 410, SUITE 100, SAN ANTONIO, TX 78229
(702) 461-6094
Mailing address
7251 W. LAKE MEAD BLVD, SUITE 300, LAS VEGAS, NV 89128
(702) 461-6094
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
NV19981366358
NV
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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