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NPI Code Detail

MEDICARE: VIVA DIAGNOSTIC IMAGING, LLC

MEDICARE: VIVA DIAGNOSTIC 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
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1659220168
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIVA DIAGNOSTIC IMAGING, LLC
Provider Business Mailing Address
First Line : 7175 N DURANGO DR STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4486
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7175 N DURANGO DR STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4486
Country : US
Telephone Number : 702-941-7512
Fax Number :
Authorized Official
Title or Position : CFO
Name : BRADFORD AMES
Credential :
Telephone Number : 949-490-5538
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “VIVA DIAGNOSTIC IMAGING, LLC ” Practice Location

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