CENTENNIAL UPRIGHT MRI
NPI 1598926677
Pain Medicine - Interventional Pain Medicine in N Las Vegas, NV

Active since June 20, 2008CLIA 32D2323810 · Waiver
4640 W CRAIG RD, N LAS VEGAS, NV 89032(702) 839-1203(702) 507-0992 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Centennial Upright Mri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL UPRIGHT MRI (NPI 1598926677) is a healthcare organization registered as an interventional pain medicine in N Las Vegas, Nevada and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Carla Sherwood, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1598926677
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCENTENNIAL MEDICAL GROUP
Location Address4640 W CRAIG RDN Las Vegas, NV 89032-2743
Mailing Address4454 N Decatur BlvdLas Vegas, NV 89130-5286 · (702) 839-1203 · Fax (702) 507-0992
Fax(702) 507-0992
Organization SubpartNo
Authorized OfficialCarla SherwoodOperations Director · (702) 818-2825
Enumeration DateJune 20, 2008
NPI 1598926677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

4640 W CRAIG RD, N Las Vegas, NV 89032

Other Names 1

Doing Business AsCentennial Upright Mri

Other Identifiers 1

OtherV103360NV · Medicare P-10

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2323810

Centennial Medical Group Dba Centenial Spine And Pain · Albuquerque, NM
Active · expires May 13, 2027
CLIA Number32D2323810
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorDavid R. Lanzkowsky
Laboratory Phone(702) 839-1203
Laboratory LocationCentennial Medical Group Dba Centenial Spine And Pain7800 East Constitution Avenue, Albuquerque, NM 87110
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4640 W CRAIG RD
NORTH LAS VEGAS, NV 89032
Radiology (Diagnostic Radiology)
4640 W CRAIG RD
NORTH LAS VEGAS, NV 89032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centennial Medical Group's NPI number?

The NPI number for Centennial Medical Group is 1598926677. It was assigned to this organization in the NPPES registry on June 20, 2008. The provider is doing business as Centennial Upright Mri.

Where is Centennial Medical Group located?

Centennial Medical Group is located at 4640 W Craig Rd, N Las Vegas, NV 89032. The listed phone number is (702) 839-1203.

What is Centennial Medical Group's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Centennial Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2323810) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centennial Medical Group was last updated on June 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.