institution
One Source Diagnostic Llc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Henderson, Nevada
NPI 1477598266

One Source Diagnostic Llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Henderson, NV. One Source Diagnostic Llc practices in Henderson, NV. The NPI Number for One Source Diagnostic Llc is 1477598266 and holds a License No. 1003036295 (Nevada).

The current practice location address for One Source Diagnostic Llc is 11 W Pacific Ave, Henderson, NV and can be reached out via phone at 702-568-6433 and via fax at 702-568-6299.

Location: 11 W Pacific Ave, Henderson, NV, 89015-7304
institution
Provider Profile Details
NPI Number
1477598266
Provider Name
One Source Diagnostic Llc
Credential
Provider Entity Type
Organization
Address
11 W Pacific Ave, Henderson, NV, 89015-7304
Phone Number
702-568-6433
Fax Number
702-568-6299
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003036295 01 NV NV STATE BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
11 W Pacific Ave
City
State
Zip
89015-7304
Phone Number
702-568-6433
Fax Number
702-568-6299
person
Provider Business Mailing Address Details
Address
11 W Pacific Ave
City
State
Zip
89015-7304
Phone Number
702-568-6433
Fax Number
702-568-6299
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
License No.
1003036295 (Nevada)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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