Provider Demographics
NPI:1275578080
Name:LAS VEGAS RADIOLOGISTS, INC.
Entity Type:Organization
Organization Name:LAS VEGAS RADIOLOGISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:HUNG
Authorized Official - Last Name:POON-CHUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-526-9127
Mailing Address - Street 1:1551 CORONA HILL CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-5877
Mailing Address - Country:US
Mailing Address - Phone:702-526-9127
Mailing Address - Fax:702-896-1086
Practice Address - Street 1:2650 N TENAYA WAY
Practice Address - Street 2:SUITE 160
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-1102
Practice Address - Country:US
Practice Address - Phone:702-952-3640
Practice Address - Fax:702-952-3699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty