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General NPI Number Information
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NPI Number | 1134589716
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Entity Type | Organization
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Legal Business Name | HIGH DESERT IMAGING LLC
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2110 IDAHO ST
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City | ELKO
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State | NV
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Zip | 89801-2625
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Country | US
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Telephone | 775-621-5800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1625
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City | EVANSVILLE
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State | IN
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Zip | 47706-0027
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Country | US
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Telephone | 775-621-5800
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Fax | 775-621-5801
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | RYAN REDELMAN
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Credential | MD
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Telephone | 775-445-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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