Healthcare Provider Details

I. General information

NPI: 1508476680
Provider Name (Legal Business Name): MEDICAL ULTRASOUND IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 05/14/2023
Certification Date: 05/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SHADOW LN STE 130
LAS VEGAS NV
89106-4132
US

IV. Provider business mailing address

5854 S PECOS RD STE 500
LAS VEGAS NV
89120-5406
US

V. Phone/Fax

Practice location:
  • Phone: 702-499-4305
  • Fax:
Mailing address:
  • Phone: 702-499-4305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: MUHAMET REXHEPI
Title or Position: SONOGRAPHER
Credential:
Phone: 702-499-4305