Healthcare Provider Details

I. General information

NPI: 1023184470
Provider Name (Legal Business Name): PRECISION MOBILE ULTRA-SOUND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3022 S DURANGO DR SUITE 100
LAS VEGAS NV
89117-4439
US

IV. Provider business mailing address

3022 S DURANGO DR SUITE 100
LAS VEGAS NV
89117-4439
US

V. Phone/Fax

Practice location:
  • Phone: 702-256-3637
  • Fax: 702-967-2354
Mailing address:
  • Phone: 702-256-3637
  • Fax: 702-967-2354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALAN WASHINSKY
Title or Position: PRESIDENT
Credential:
Phone: 702-256-3637