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NPI Code Detail

MEDICARE: NEWPORT MRI A NEVADA LIMITED LIABILITY COMPANY

MEDICARE: NEWPORT MRI A NEVADA LIMITED LIABILITY COMPANY
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
12471M1202XMagnetic Resonance Imaging Radiologic Technologist233260NV
2261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center233260NV

Other Identifiers

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

General Provider Information

NPI Number : 1518915834
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEWPORT MRI A NEVADA LIMITED LIABILITY COMPANY
Provider Business Mailing Address
First Line : 7140 SMOKE RANCH RD
Second Line : STE. 150
City : LAS VEGAS
State : NV
Zip : 89128-3157
Country : US
Telephone Number : 702-320-8111
Fax Number : 702-320-8112
Provider Business Practice Location Address
First Line : 7140 SMOKE RANCH RD
Second Line : STE. 150
City : LAS VEGAS
State : NV
Zip : 89128-3157
Country : US
Telephone Number : 702-870-4674
Fax Number : 702-839-4849
Authorized Official
Title or Position : ORTHOPAEDIC SPINE SURGEON
Name : DR. JASWINDER GROVER
Credential : M.D
Telephone Number : 702-839-4810
Provider Enumeration Date : 05/05/2006
Last Update Date : 04/09/2013

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Directions to “NEWPORT MRI A NEVADA LIMITED LIABILITY COMPANY ” Practice Location

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