Healthcare Provider Details

I. General information

NPI: 1003979303
Provider Name (Legal Business Name): RADIOLOGY SPECIALISTS, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 W SUNSET RD
LAS VEGAS NV
89148-4844
US

IV. Provider business mailing address

PO BOX 50709
HENDERSON NV
89016-0709
US

V. Phone/Fax

Practice location:
  • Phone: 702-880-2948
  • Fax: 702-880-2954
Mailing address:
  • Phone: 702-942-4123
  • Fax: 702-942-4124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHARLEE LEBLEU
Title or Position: VICE PRESIDENT
Credential:
Phone: 480-321-7026