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NPI Code Detail

MEDICARE: RED ROCK DIAGNOSTICS, LLC

MEDICARE: RED ROCK DIAGNOSTICS, 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
1251X00000XSupports Brokerage Agency

General Provider Information

NPI Number : 1215059944
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED ROCK DIAGNOSTICS, LLC
Provider Business Mailing Address
First Line : 2980 S JONES BLVD
Second Line : SUITE I
City : LAS VEGAS
State : NV
Zip : 89146-5656
Country : US
Telephone Number : 702-362-6077
Fax Number : 702-477-0170
Provider Business Practice Location Address
First Line : 2980 S JONES BLVD
Second Line : SUITE I
City : LAS VEGAS
State : NV
Zip : 89146-5656
Country : US
Telephone Number : 702-362-6077
Fax Number : 702-477-0170
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHRIS J PAULBICK
Credential : DC
Telephone Number : 702-362-6077
Provider Enumeration Date : 04/04/2007
Last Update Date : 08/22/2020

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Directions to “RED ROCK DIAGNOSTICS, LLC ” Practice Location

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