One Source Diagnostic Llc

LBN: One Source Diagnostic Llc
One Source Diagnostic Llc is an health care organization with primary practice located at 11 W Pacific Ave , Henderson NV 89015-7304. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. One Source Diagnostic Llc can be contacted via phone (702) 568-6433, or through Padilla, Rosa Diaz via phone (702) 568-0007.

Contact Information

Primary practice address
11 W Pacific Ave Henderson NV 89015-7304
Phone: (702) 568-6433
Fax: (702) 568-6299
Website:
Map and Directions
Authorized official contact:
Name: Padilla, Rosa Diaz
Phone: (702) 568-0007

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 1003036295 Nevada

Profile Details

NPI number 1477598266
LBN Legal business name One Source Diagnostic Llc
DBA Doing business as
Authorized official Padilla, Rosa Diaz
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477598266 NPPES
Nevada Other 1003036295 NV STATE BUSINESS LICENSE

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