Organization
CHW NEVADA IMAGING COMPANY LLC
Active
Other names
Nevada Imaging Centers--Peccole Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROD A. DAVIS (PRESIDENT)
(702) 616-5500
Entity
Organization
Contact information
Practice address
9499 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89117-7147
(702) 891-9729
Mailing address
2835 S JONES BLVD, SUITE 3, LAS VEGAS, NV 89146-5354
(702) 597-1145
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00731251
RAILROAD
NV
Enumeration date
10/24/2008
Last updated
10/01/2009
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