Organization
PROFESSIONAL MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER LEVKOFF (PRESIDENT)
(909) 592-6345
Entity
Organization
Contact information
Practice address
10241 JUNIPER CREEK LN, LAS VEGAS, NV 89145-8831
(909) 556-0349
Mailing address
10241 JUNIPER CREEK LN, LAS VEGAS, NV 89145-8831
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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