MR. TRUMAN LORENZO THOMPSON (NPI# 1306121108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306121108 |
Entity Type | Individual |
Full Name | MR. TRUMAN LORENZO THOMPSON |
Credential | ARDMS |
Practice Address |
10217 Madison Grove Avenue Las Vegas NV 89166-5266 |
Practice Telephone | 7027898096 |
Practice Fax Number | 7023808187 |
Mailing Telephone | 7027898096 |
Mailing Fax Number | 7023808187 |
Enumeration Date | 2011-10-13 |
Last Update Date | 2016-09-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
92430 | MD | Technologists, Technicians & Other Technical Service Providers |
N | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
N | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers | ||
N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
Technologists, Technicians & Other Technical Service Providers | ||
N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
283752 | MN | Technologists, Technicians & Other Technical Service Providers |
N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
92430 | MD | Technologists, Technicians & Other Technical Service Providers |
Y | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
92430 | MD | Technologists, Technicians & Other Technical Service Providers |
N | 2471V0106X |
Radiologic Technologist Specialization: Vascular-Interventional Technology |
Technologists, Technicians & Other Technical Service Providers | ||
N | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
10217 MADISON GROVE AVENUE |
City | LAS VEGAS |
State | NV |
Zip Code | 89166-5266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437434321 | West Coast Healthcare, LLC | Point of Service | 10217 Madison Grove Avenue, Las Vegas, NV 89166-5266 | 2011-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720621808 | Elena Rodriguez | Chore Provider | 5000 W Oakley Suite E-1, Las Vegas, NV 89166 | 2019-10-22 |
1245739218 | Shelvion Williams | Counselor | 10151 W Dorrell Ln, 2173, Las Vegas, NV 89166 | 2018-02-06 |
1770733941 | Lauren B Carter | Speech-Language Pathologist | 6643 Rego Park Ct, Las Vegas, NV 89166 | 2008-09-24 |
1639602683 | Nathan Ryan Fowler | Nurse Practitioner | 7516 Clifton Gardens St, Las Vegas, NV 89166-0101 | 2017-04-06 |
1710480843 | Sage Alexander Williams | Adult Companion | 9745 Grand Teton Dr Unit 89166, Las Vegas, NV 89166-1017 | 2018-03-15 |
1316176274 | Danielle Benscoter | Physical Therapist | 9745 Grand Teton Dr, #3099, Las Vegas, NV 89166-1017 | 2009-07-13 |
1962747964 | Ashton Caligone | Rehabilitation Practitioner | 9745 Grand Teton Dr, #2040, Las Vegas, NV 89166-1017 | 2012-12-01 |
1760746705 | Tiffany A Webster | Counselor | 10151 Dorrell Ln, Apt 1094, Las Vegas, NV 89166-1026 | 2012-06-25 |
1306284807 | Nicole Ward | Counselor | 10151 Dorrell Ln, Unit 1167, Las Vegas, NV 89166-1026 | 2013-06-06 |
1306347489 | Ashlee Godwin | Chore Provider | 10151 Dorrell Ln Unit 1017, Las Vegas, NV 89166-1027 | 2018-02-23 |
Find all providers in zip 89166 |
Taxonomy Code | 2471V0105X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Vascular Sonography |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295222081 | Aliantcare | Radiologic Technologist | 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 | 2018-04-17 |
1861053076 | Manuel Carranza | Radiologic Technologist | 2950 E Flamingo Rd Ste E, Las Vegas, NV 89121-5208 | 2019-06-27 |
Please comment or provide details below to improve the information on MR. TRUMAN LORENZO THOMPSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.