Provider Demographics
NPI:1487803268
Name:CENTENNIAL MEDICAL IMAGING, LLC
Entity type:Organization
Organization Name:CENTENNIAL MEDICAL IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINAY
Authorized Official - Middle Name:KUNAR
Authorized Official - Last Name:BARARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-942-1749
Mailing Address - Street 1:7610 W CHEYENNE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6759
Mailing Address - Country:US
Mailing Address - Phone:702-942-1749
Mailing Address - Fax:702-685-7052
Practice Address - Street 1:7610 W CHEYENNE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-6759
Practice Address - Country:US
Practice Address - Phone:702-685-7052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11355207RM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RM1200XAllopathic & Osteopathic PhysiciansInternal MedicineMagnetic Resonance Imaging (MRI)Group - Multi-Specialty