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NPI Code Detail

MEDICARE: VALLEY IMAGING NETWORK, INC.

MEDICARE: VALLEY IMAGING NETWORK, INC.
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
1247100000XRadiologic Technologist

General Provider Information

NPI Number : 1245780873
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY IMAGING NETWORK, INC.
Provider Business Mailing Address
First Line : 626 S 3RD ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6602
Country : US
Telephone Number : 702-332-1452
Fax Number : 888-796-0769
Provider Business Practice Location Address
First Line : 626 S 3RD ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6602
Country : US
Telephone Number : 702-332-1452
Fax Number : 888-796-0769
Authorized Official
Title or Position : CEO
Name : AVETIK HARUTUNIAN
Credential :
Telephone Number : 702-332-1452
Provider Enumeration Date : 10/06/2016
Last Update Date : 10/06/2016

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Directions to “VALLEY IMAGING NETWORK, INC. ” Practice Location

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