Organization
AV DIAGNOSTIC CORPORATION
Active
Other names
AV Diagnostic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VILEN MANVELYAN (DIRECTOR)
(818) 223-7171
Entity
Organization
Contact information
Practice address
3311 S RAINBOW BLVD STE 140, LAS VEGAS, NV 89146-6208
(818) 223-7170
Mailing address
3311 S RAINBOW BLVD STE 140, LAS VEGAS, NV 89146-6208
(818) 223-7170
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447893201
—
ND
Enumeration date
10/24/2019
Last updated
04/24/2020
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