Organization
NEW IMAGE MEDICAL NETWORK, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L BRADLEY JR. (PRESIDENT)
(310) 435-0644
Entity
Organization
Contact information
Practice address
3481 E SUNSET RD, SUITE 100-I, LAS VEGAS, NV 89120-3228
(702) 750-2770
(702) 750-2771
Mailing address
3481 E SUNSET RD, SUITE 100-I, LAS VEGAS, NV 89120-3228
(702) 750-2770
(702) 750-2771
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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