Provider Demographics
NPI:1285887091
Name:CHW NEVADA IMAGING COMPANY LLC
Entity type:Organization
Organization Name:CHW NEVADA IMAGING COMPANY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROD
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-616-5500
Mailing Address - Street 1:5495 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1871
Mailing Address - Country:US
Mailing Address - Phone:702-317-1200
Mailing Address - Fax:
Practice Address - Street 1:1818 E LAKE MEAD BLVD
Practice Address - Street 2:SUITE 113N
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-7100
Practice Address - Country:US
Practice Address - Phone:702-891-9729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography