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Export Provider Record NPI 1255310124
Sierra Nevada Medical Imaging
Organization Subpart: NO
Active
NPI Number1255310124
NPI TypeNPI-2 Organization
SpecialtyRadiology, Diagnostic Radiology
Provider Details
NPI1255310124
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-01-10
Last Updated2020-09-17
Authorized OfficialRobert Silk
Authorized Official
Phone: 5592970300
Mailing AddressPo Box 19879
Reno, NV 89511-2533
United States
Phone: (888) 480-6640 | Fax: (775) 852-6902
📍 View Map
Primary Practice Address2170 South Ave
South Lake Tahoe, CA 96150
United States
Phone: (559) 297-0300 | Fax: (530) 542-9550
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)CACA7624RR Medicare
MEDICAIDNV100507836-
MEDICAIDNV100507852-
Other (non-Medicare)NVCA7623RR Medicare
MEDICAIDCAGR0099310-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes2085R0202X – Radiology, Diagnostic Radiology--
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About NPI 1255310124

Sierra Nevada Medical Imaging is an organization registered in the CMS NPPES NPI Registry with NPI number 1255310124. The primary specialty listed is Radiology, Diagnostic Radiology. The organization is located in South Lake Tahoe, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1255310124?

NPI 1255310124 belongs to Sierra Nevada Medical Imaging, a Radiology, Diagnostic Radiology in South Lake Tahoe, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1255310124 active?

The current status of NPI 1255310124 in the NPPES registry is Active. The record was last updated on 2020-09-17.

What specialty is NPI 1255310124?

NPI 1255310124 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1255310124?

You can verify NPI 1255310124 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1255310124?

The primary practice address on file for NPI 1255310124 is 2170 South Ave, South Lake Tahoe, CA 96150. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1255310124 issued?

NPI 1255310124 was first issued (enumerated) on 2006-01-10. The NPPES record was last updated on 2020-09-17.

Practice Location Map

Sierra Nevada Medical Imaging is located at 2170 South Ave, South Lake Tahoe, CA. Use the map below to find directions or verify the practice location.

📍 2170 South Ave, South Lake Tahoe, CA 96150  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Sierra Nevada Medical Imaging. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162