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General NPI Number Information
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NPI Number | 1326775636
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Entity Type | Organization
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Legal Business Name | APEX MOBILE IMAGING, LLC
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 3440 E RUSSELL RD # 208
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City | LAS VEGAS
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State | NV
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Zip | 89120-2201
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Country | US
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Telephone | 702-972-0137
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Fax | 725-204-8283
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Provider Business Mailing Address
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Address Line | 3440 E RUSSELL RD # 208
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City | LAS VEGAS
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State | NV
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Zip | 89120-2201
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Country | US
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Telephone | 702-972-0137
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Fax | 725-204-8283
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Authorized Official
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Title or Position | OWNER
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Name | MR. JASON HAN
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Credential | R.T. (R)
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Telephone | 702-972-0137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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