Organization
ATA GROUP LV
Active
Organization
ATA GROUP LV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIGRAN AVETISYAN (PRESIDENT)
(702) 945-5071
Entity
Organization
Contact information
Practice address
10170 W TROPICANA AVE STE 156-211, LAS VEGAS, NV 89147
(702) 945-5071
Mailing address
10170 W TROPICANA AVE STE 156-211, LAS VEGAS, NV 89147
(702) 945-5071
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006236-062-101
CLARK COUNTY BUSINESS LICENSE
NV
Enumeration date
06/25/2020
Last updated
06/25/2020
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