Organization
PREVENTATIVE DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BLAIR (MANAGER/OWNER)
(702) 493-8816
Entity
Organization
Contact information
Practice address
6620 S TENAYA WAY STE 120, LAS VEGAS, NV 89113-1962
(702) 534-7900
Mailing address
6620 S TENAYA WAY STE 120, LAS VEGAS, NV 89113-1962
(702) 534-7900
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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