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NPI Code Detail

MEDICARE: RADIOLOGY SPECIALISTS LTD MARASSO-MILLER

MEDICARE: RADIOLOGY SPECIALISTS LTD MARASSO-MILLER
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
12085R0204XVascular & Interventional Radiology Physician
22085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2NV3237OTHERNVBLUE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437196979
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIOLOGY SPECIALISTS LTD MARASSO-MILLER
Provider Business Mailing Address
First Line : PO BOX 202240
Second Line :
City : DALLAS
State : TX
Zip : 75320-2240
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3186 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2317
Country : US
Telephone Number : 702-961-5000
Fax Number :
Authorized Official
Title or Position : AO
Name : KAREN MARIE VAUGHN
Credential :
Telephone Number : 629-317-1465
Provider Enumeration Date : 06/01/2006
Last Update Date : 05/07/2026

Similar Medicare Providers

1003979303 — RADIOLOGY SPECIALISTS, LTD.
Practice Location Address:
3186 S MARYLAND PKWY
LAS VEGAS, NV
89109-2317
Practice Phone: 703-961-5000
Practice Fax:
1831252329 — RADIOLOGY SPECIALISTS LTD
Practice Location Address:
3186 S MARYLAND PKWY
LAS VEGAS, NV
89109-2317
Practice Phone: 702-961-5000
Practice Fax:
1649334418 — RADIOLOGY SPECIALISTS, LTD
Practice Location Address:
3186 S MARYLAND PKWY
LAS VEGAS, NV
89109-2317
Practice Phone: 702-961-5000
Practice Fax:
1396809166 — RADIOLOGY SPECIALISTS, LTD.
Practice Location Address:
3186 S MARYLAND PKWY
LAS VEGAS, NV
89109-2317
Practice Phone: 702-961-5000
Practice Fax:
1427056928 — DR. KATHLEEN PATRICIA GATES MD
Practice Location Address:
3186 S MARYLAND PKWY , CHILDREN'S ADMINISTRATION
LAS VEGAS, NV
89109-2317
Practice Phone: 701-431-8240
Practice Fax:
1154314102 — RUCHI GARG D.O.
Practice Location Address:
3186 S MARYLAND PKWY
LAS VEGAS, NV
89109-2317
Practice Phone: 888-350-2911
Practice Fax: 702-369-5827

Directions to “RADIOLOGY SPECIALISTS LTD MARASSO-MILLER ” Practice Location

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