NPI 1306969621

Advantage Diagnostic Imaging Center

Organisation Exclusive Provider Organization Las Vegas, NV

Practice location

Address: 2980 S Jones Blvd Suite E, Las Vegas, NV 89146-5656
Phone: (708) 478-6417
Fax: (708) 535-8087

Authorised official

Name: Jim Kolb
Title: Executive Vice President
Phone: (708) 478-6403

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Nevada →

Registry record

NPI: 1306969621
Entity type: Organization
NPI issued: 10 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.