Provider Demographics
NPI:1013227867
Name:LV MEDICAL DIAGNOSTIC INC
Entity Type:Organization
Organization Name:LV MEDICAL DIAGNOSTIC INC
Other - Org Name:LV MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:ARAGATS
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAPETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-998-2299
Mailing Address - Street 1:3360 PASO ANDRES ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6563
Mailing Address - Country:US
Mailing Address - Phone:702-998-2299
Mailing Address - Fax:702-998-2163
Practice Address - Street 1:3824 S JONES BLVD
Practice Address - Street 2:SUIT I
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-2453
Practice Address - Country:US
Practice Address - Phone:702-998-2299
Practice Address - Fax:702-998-2163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVH13003721150082332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies