Individual
MARC POMERANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 MONTESSOURI ST, SUITE C, LAS VEGAS, NV 89117-3057
(702) 477-0772
Mailing address
DEPT LA 21686, PASADENA, CA 91185-1686
(702) 477-0772
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5362
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153081
WC
NV
01
—
153093
WC
NV
01
—
NV1944
BCBS
NV
01
—
NV4883
BCBS
NV
Enumeration date
05/18/2006
Last updated
11/29/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us