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General NPI Number Information
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NPI Number | 1497360648
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Entity Type | Organization
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Legal Business Name | ADVANCED MOLECULAR PET IMAGING LLC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 5785 S FORT APACHE RD
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City | LAS VEGAS
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State | NV
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Zip | 89148-5659
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Country | US
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Telephone | 725-258-6793
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Fax | 725-258-6794
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Provider Business Mailing Address
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Address Line | 4200 W RUSSELL RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89118-2365
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Country | US
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Telephone | 725-258-6793
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Fax | 725-258-6794
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JAMES BALLOW
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Credential |
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Telephone | 725-258-6793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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