| Diagnostic Center Of Medicine | |
|
6301 Mountain Vista Street Suite 108 Henderson NV 89014 | |
| (702) 454-1322 | |
| (702) 454-1624 |
| Full Name | Diagnostic Center Of Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6301 Mountain Vista Street, Henderson, Nevada |
| Authorized Official Name and Position | Lawrence M. Allen (MANAGING PARTNER) |
| Authorized Official Contact | 7023660640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Center Of Medicine 3012 S Durango Dr Suite 2 Las Vegas NV 89117-9186 Ph: (702) 366-1655 | Diagnostic Center Of Medicine 6301 Mountain Vista Street Suite 108 Henderson NV 89014 Ph: (702) 454-1322 |
| NPI Number | 1619126257 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619126257 | NPI | - | NPPES |
| 100501975 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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