MEDICARE: AMERICAN RADIOLOGY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center	NV19961142712	NV

General Provider Information

NPI Number	:	1114470614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN RADIOLOGY LLC

Provider Business Mailing Address
First Line	:	7140 SMOKE RANCH RD
Second Line	:	SUITE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3157
Country	:	US
Telephone Number	:	702-320-8111
Fax Number	:	702-320-8112

Provider Business Practice Location Address
First Line	:	6460 MEDICAL CENTER ST
Second Line	:	STE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2406
Country	:	US
Telephone Number	:	702-320-8111
Fax Number	:	702-320-8112

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	ROSA GONZALEZ
Credential	:
Telephone Number	:	702-839-4821

Provider Enumeration Date	:	08/01/2016
Last Update Date	:	11/04/2016

Similar Medicare Providers

1346312642 — AXIOM IMAGING OF LAS VEGAS LLC
Practice Location Address:

6460 MEDICAL CENTER ST , STE. 150
LAS VEGAS, NV
89148-2406

Practice Phone: 702-868-2781
Practice Fax: 702-868-2782

1740516699 — FIFE DERMATOLOGY, P.C.
Practice Location Address:

6460 MEDICAL CENTER ST , STE 350
LAS VEGAS, NV
89148-2406

Practice Phone: 702-255-6647
Practice Fax: 702-933-1444

1881967628 — JOHNSON IMPLANT DENTISRTY ASSOCIATES
Practice Location Address:

6460 MEDICAL CENTER ST , SUITE 300
LAS VEGAS, NV
89148-2406

Practice Phone: 702-739-6452
Practice Fax: 702-739-6654

1053912790 — MICHELLE BASTARACHE NP
Practice Location Address:

6460 MEDICAL CENTER ST
LAS VEGAS, NV
89148-2406

Practice Phone: 702-255-6647
Practice Fax:

1407532369 — JULIA MARIE MARANVILLE PSYCHOLOGY STUDENT
Practice Location Address:

6460 MEDICAL CENTER ST STE 140
LAS VEGAS, NV
89148-2406

Practice Phone: 702-888-1340
Practice Fax: 702-888-1342

1578656054 — DR. GEORGE ALLEN RITTER D.C.
Practice Location Address:

1812 SANTA PAULA DR
LAS VEGAS, NV
89104-2406

Practice Phone: 702-731-5028
Practice Fax: 702-731-3360

Directions to “AMERICAN RADIOLOGY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.