Provider Demographics
NPI:1881661411
Name:SOUTHWEST MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:SOUTHWEST MEDICAL ASSOCIATES
Other - Org Name:SOUTHWEST MEDICAL ASSOCIATES RADIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIAGNOSTIC RADIOLOGY MD
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:TISCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-759-8778
Mailing Address - Street 1:PO BOX 15645
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89114-5645
Mailing Address - Country:US
Mailing Address - Phone:702-242-7786
Mailing Address - Fax:702-240-8790
Practice Address - Street 1:888 S RANCHO
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-877-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology