Provider First Line Business Practice Location Address:
3012 S DURANGO DR
Provider Second Line Business Practice Location Address:
STE 1 DIAGNOSTIC CENTER OF MEDICINE
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-366-0640
Provider Business Practice Location Address Fax Number:
702-366-9075
Provider Enumeration Date:
02/01/2008