Provider Demographics
NPI:1477559169
Name:7 HILLS RADIOLOGY LLC
Entity Type:Organization
Organization Name:7 HILLS RADIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHINASA
Authorized Official - Middle Name:O
Authorized Official - Last Name:EGEMONU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-407-8647
Mailing Address - Street 1:PO BOX 530326
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89053-0326
Mailing Address - Country:US
Mailing Address - Phone:702-407-8647
Mailing Address - Fax:702-407-8649
Practice Address - Street 1:870 SEVEN HILLS DR
Practice Address - Street 2:STE 101
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4378
Practice Address - Country:US
Practice Address - Phone:702-932-9888
Practice Address - Fax:702-932-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0304250402261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV37916Medicare ID - Type Unspecified