MEDICARE: VALLEY 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
1	2085U0001X	Diagnostic Ultrasound Physician

General Provider Information

NPI Number	:	1548042252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY IMAGING, LLC

Provider Business Mailing Address
First Line	:	648 HAUNTS WALK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-1261
Country	:	US
Telephone Number	:	702-337-3318
Fax Number	:	833-485-4828

Provider Business Practice Location Address
First Line	:	8635 W SAHARA AVE # 3298
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5858
Country	:	US
Telephone Number	:	248-690-6360
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROMAN KOBITA
Credential	:
Telephone Number	:	702-337-3318

Provider Enumeration Date	:	10/17/2023
Last Update Date	:	01/07/2026

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Directions to “VALLEY IMAGING, LLC ” Practice Location

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