Organization
ONE SOURCE DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA DIAZ PADILLA (MANAGING DIRECTOR)
(702) 568-0007
Entity
Organization
Contact information
Practice address
11 W PACIFIC AVE, HENDERSON, NV 89015-7304
(702) 568-6433
(702) 568-6299
Mailing address
11 W PACIFIC AVE, HENDERSON, NV 89015-7304
(702) 568-6433
(702) 568-6299
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
1003036295
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003036295
NV STATE BUSINESS LICENSE
NV
Enumeration date
06/17/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up