Organization
MEDICAL DIAGNOSTIC SERVICES, INC.
Active
Other names
Nevada Physicians Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CHRISTOPHERSON (OPERATIONS DIRECTOR)
(702) 940-2629
Entity
Organization
Contact information
Practice address
6301 MOUNTAIN VISTA ST., SUITE 101, HENDERSON, NV 89014-2631
(702) 777-1200
(702) 933-4289
Mailing address
6301 MOUNTAIN VISTA ST., SUITE 101, HENDERSON, NV 89014-2631
(702) 940-2650
(702) 933-4289
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457305856
—
NV
Enumeration date
05/20/2006
Last updated
09/29/2009
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