| Diagnostic Center Of Medicine | |
|
5915 S Rainbow Blvd Ste 105 Las Vegas NV 89118-2558 | |
| (702) 366-0640 | |
| (702) 366-9672 |
| Full Name | Diagnostic Center Of Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 5915 S Rainbow Blvd Ste 105, Las Vegas, Nevada |
| Authorized Official Name and Position | Cheryl Miskech (BILLING MANAGER) |
| Authorized Official Contact | 7023660640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Center Of Medicine 5915 S Rainbow Blvd Ste 105 Las Vegas NV 89118-2558 Ph: (702) 366-0640 | Diagnostic Center Of Medicine 5915 S Rainbow Blvd Ste 105 Las Vegas NV 89118-2558 Ph: (702) 366-0640 |
| NPI Number | 1922043900 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 05/06/2022 |
| Medicare PECOS PAC ID | 7517956485 |
|---|---|
| Medicare Enrollment ID | O20040507000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922043900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Nevada) | Secondary |
| 207R00000X | Internal Medicine | (Nevada) | Primary |
| Provider Name | Lawrence M Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174596142 PECOS PAC ID: 9436148202 Enrollment ID: I20040507000953 |
| Provider Name | Anthony Michael Valiente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124769732 PECOS PAC ID: 3577941459 Enrollment ID: I20220606000686 |
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