MEDICARE: BEST DIAGNOSTIC MEDICAL IMAGING CENTER

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
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1477749356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST DIAGNOSTIC MEDICAL IMAGING CENTER

Provider Business Mailing Address
First Line	:	5240 S EASTERN AVE
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-2306
Country	:	US
Telephone Number	:	702-736-0049
Fax Number	:	702-736-0095

Provider Business Practice Location Address
First Line	:	5240 S EASTERN AVE
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-2306
Country	:	US
Telephone Number	:	702-736-0049
Fax Number	:	702-736-0095

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ANUSH DAVTYAN
Credential	:
Telephone Number	:	702-736-0049

Provider Enumeration Date	:	09/24/2007
Last Update Date	:	09/24/2007

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