SACRED HEART DIAGNOSTICS CENTER, INCORPORATED


Address: 4440 E Washington Ave, Ste 109, Las Vegas, NV 89110-5792
Phone: 7025241186

SACRED HEART DIAGNOSTICS CENTER, INCORPORATED (NPI# 1366562571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366562571
Entity Type Organization
Organization Name SACRED HEART DIAGNOSTICS CENTER, INCORPORATED
Practice Address 4440 E Washington Ave
Ste 109
Las Vegas
NV 89110-5792
Practice Telephone 7025241186
Practice Fax Number 7023410638
Mailing Telephone 7025241186
Mailing Fax Number 7023410638
Enumeration Date 2007-03-30
Last Update Date 2020-08-22
Authorized Official Name MARIA TERESA C. CARANDANG (PRESIDENT)
Authorized Official Telephone 7025241186
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
NV BUSINESS LICENSE 265154 01

Office Location

Street Address 4440 E WASHINGTON AVE
STE 109
City LAS VEGAS
State NV
Zip Code 89110-5792

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376709196 Us Dental Washington Inc Dentist 4440 E Washington Ave, Ste 102, Las Vegas, NV 89110-5792 2008-07-31

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NPI Name Taxonomy Address Enumeration
1932740792 Egalitarian Nevada LLC Community/Behavioral Health 241 North Nellis Boulevard, Suite 103, Las Vegas, NV 89110 2019-10-03
1730698333 Antoinette Garrett Rehabilitation Practitioner 3085 S. Jones Boulevard Ste D., Las Vegas, NV 89110 2017-09-26
1063883486 Chanfay Michelle Dabney Adult Companion 609 Sponseller, Las Vegas, NV 89110 2015-10-12
1689097735 Lynda C Mccloskey Registered Nurse 330 South Valley View, Las Vegas, NV 89110 2014-01-27
1679994487 Maria Arias De Lujan Registered Nurse 570 N Nellis Blvd Suite D1, Las Vegas, NV 89110 2013-12-20
1932520988 Satoko Brilis Registered Nurse 570 N. Nellis Blvd., Suite D-1, Las Vegas, NV 89110 2013-12-18
1245651231 Loriza Chongtai Registered Nurse 570 N.nellis Blvd Suite D1, Las Vegas, NV 89110 2013-12-18
1255752242 Marites Navarro Registered Nurse 570 N. Nellis Blvd Suite D1, Las Vegas, NV 89110 2013-12-18
1770904781 Karen M Atkins Registered Nurse 570 N. Nellis Blvd, Suite D1, Las Vegas, NV 89110 2013-12-17
1780020016 Emma Jean Watson Counselor 3750 East Bonanza Rd Unit 155, Las Vegas, NV 89110 2013-05-14
Find all providers in zip 89110

Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629586458 Cardiac Molecular Pet Imaging LLC Physiological Laboratory 5944 Mahogany Mountain Dr, Las Vegas, NV 89142-1685 2018-01-15
1760762066 New Image Medical Network, L.L.C. Physiological Laboratory 3481 E Sunset Rd, Suite 100-i, Las Vegas, NV 89120-3228 2011-08-18
1912171760 Neuromonitoring Associates Inc Physiological Laboratory 7455 W Washington Ave Ste 302, Las Vegas, NV 89128 2008-04-14
1639148059 Insight Health Corp Physiological Laboratory 800 Shadow Ln, Las Vegas, NV 89106-4123 2006-03-16
1902370588 Wave Ultrasound LLC Physiological Laboratory 8987 W Flamingo Rd Ste 105, Las Vegas, NV 89147-0437 2019-01-16
1457300451 Diagnostic Health Corporation Physiological Laboratory 2650 N Tenaya Way, Las Vegas, NV 89128-1102 2006-05-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437604683 Somnicare LLC Physiological Laboratory 6119 Ridgeview Ct, Suite #400c, Reno, NV 89519-6342 2016-08-17
1578854600 Reliable Ultrasound LLC Physiological Laboratory 2019 Woodspring Ter, Henderson, NV 89012-3243 2011-04-24
1245354372 Insight Health Corp Physiological Laboratory 100 North Green Valley Pkwy, Ste 130, Henderson, NV 89014 2007-03-16
1700046042 Sleep Medicine Associates Physiological Laboratory 2145 Green Vista Dr, Suite 112, Sparks, NV 89431-8543 2008-06-10
1083679526 Parkway Imaging Center LLC Physiological Laboratory 100 N Green Valley Pkwy, Ste 130, Henderson, NV 89074-6391 2006-04-18

Competitor

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City LAS VEGAS
Zip Code 89110

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Dataset Information

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.

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