Diagnostic Center Of Medicine | |
5380 S Rainbow Blvd Suite 120 Las Vegas NV 89118-1877 | |
(702) 233-3444 | |
(702) 233-6998 |
Full Name | Diagnostic Center Of Medicine |
---|---|
Speciality | Internal Medicine |
Location | 5380 S Rainbow Blvd, Las Vegas, Nevada |
Authorized Official Name and Position | Lawrence M Allen (CEO) |
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 5380 S Rainbow Blvd Suite 120 Las Vegas NV 89118-1877 Ph: (702) 233-3444 |
NPI Number | 1134377153 |
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Provider Enumeration Date | 09/03/2008 |
Last Update Date | 09/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134377153 | NPI | - | NPPES |
100501975 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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