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NPI Code Detail

MEDICARE: HEART CHECK AMERICA LAS VEGAS LLC

MEDICARE: HEART CHECK AMERICA LAS VEGAS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center10699NV

General Provider Information

NPI Number : 1194043323
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART CHECK AMERICA LAS VEGAS LLC
Provider Business Mailing Address
First Line : 7690 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2737
Country : US
Telephone Number : 702-489-6305
Fax Number : 702-485-4098
Provider Business Practice Location Address
First Line : 7690 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2737
Country : US
Telephone Number : 702-489-6305
Fax Number : 702-485-4098
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : CHRIS SHORT
Credential :
Telephone Number : 702-489-6305
Provider Enumeration Date : 05/12/2010
Last Update Date : 05/12/2010

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Directions to “HEART CHECK AMERICA LAS VEGAS LLC ” Practice Location

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