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NPI Code Detail

MEDICARE: CENTENNIAL MEDICAL IMAGING, LLC

MEDICARE: CENTENNIAL MEDICAL IMAGING, 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
1207RM1200XMagnetic Resonance Imaging (MRI) Internal Medicine Physician11355NV

General Provider Information

NPI Number : 1487803268
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTENNIAL MEDICAL IMAGING, LLC
Provider Business Mailing Address
First Line : 7610 W CHEYENNE AVE
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89129-6759
Country : US
Telephone Number : 702-942-1749
Fax Number : 702-685-7052
Provider Business Practice Location Address
First Line : 7610 W CHEYENNE AVE
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89129-6759
Country : US
Telephone Number : 702-685-7052
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. VINAY KUNAR BARARIA
Credential : MD
Telephone Number : 702-942-1749
Provider Enumeration Date : 09/16/2008
Last Update Date : 11/11/2010

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Directions to “CENTENNIAL MEDICAL IMAGING, LLC ” Practice Location

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