Provider Demographics
NPI:1336830769
Name:ART HEALTH CANCER CENTER LAS VEGAS LLC
Entity Type:Organization
Organization Name:ART HEALTH CANCER CENTER LAS VEGAS LLC
Other - Org Name:ART HEALTH OF LAS VEGAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRANQUILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-604-5274
Mailing Address - Street 1:192 WEBSTER WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-0622
Mailing Address - Country:US
Mailing Address - Phone:702-604-5274
Mailing Address - Fax:
Practice Address - Street 1:2980 W. HORIZON RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-604-5274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty