OrganizationActive
Interventional Medical Solutions, LLC
NPI 1053992784 · Pain Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1053992784
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Allen Miller, Manager(626) 399-6834
Specialties & taxonomies
Ambulatory Health Care Facilities
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
304 S Jones Blvd # 1454
Las Vegas, NV 89107-2623
Phone: (626) 399-6834
Fax: (702) 357-4415
Street-level locationGet directions
Mailing address
304 S Jones Blvd # 1454
Las Vegas, NV 89107-2623
Registry dates
- Enumerated
- 2021-04-15
- Last updated
- 2021-04-15
- Certified
- 2021-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.