Healthcare Provider Details

I. General information

NPI: 1841122538
Provider Name (Legal Business Name): LANDRITO RADIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 DAMONTE RANCH PKWY UNIT 1158
RENO NV
89521-4582
US

IV. Provider business mailing address

1160 DAMONTE RANCH PKWY UNIT 1158
RENO NV
89521-4582
US

V. Phone/Fax

Practice location:
  • Phone: 702-302-8704
  • Fax:
Mailing address:
  • Phone: 702-302-8704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EARL JAY OSTREA LANDRITO
Title or Position: MANAGER
Credential: MD
Phone: 702-302-8704