Provider Demographics
NPI:1962091926
Name:US DIAGNOSTIC LV MANAGEMENT LLC
Entity type:Organization
Organization Name:US DIAGNOSTIC LV MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-735-4042
Mailing Address - Street 1:1600 E DESERT INN RD STE 220
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-2505
Mailing Address - Country:US
Mailing Address - Phone:747-477-1064
Mailing Address - Fax:747-477-1182
Practice Address - Street 1:1621 E FLAMINGO RD STE 15B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5276
Practice Address - Country:US
Practice Address - Phone:725-735-4042
Practice Address - Fax:747-477-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty