Organization
DIAGNOSTIC CENTER OF MEDICINE (ALLEN) LLP
Active
Parent organization
DIAGNOSTIC CENTER OF MEDICINE (ALLEN) LLP
Other names
Diagnostic Center of Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAGNOSTIC CENTER OF MEDICINE (ALLEN) LLP
Authorized official
DR. LAWRENCE M. ALLEN M.D. (MANAGING PARTNER)
(702) 366-0640
Entity
Organization
Contact information
Practice address
6301 MOUNTAIN VISTA STREET, SUITE 108, HENDERSON, NV 89014
(702) 454-1322
(702) 454-1624
Mailing address
3012 S DURANGO DR, SUITE 2, LAS VEGAS, NV 89117-9186
(702) 366-1655
(702) 942-4388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501975
—
NV
Enumeration date
09/18/2008
Last updated
01/27/2014
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