Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY RAE BLACK, MD
Active Sole ProprietorSTACEY RAE BLACK, MD is a Diagnostic Radiology healthcare provider located in LAS VEGAS, Nevada. NPI 1336291038 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · LAS VEGAS, NV
Registration Details
- NPI Number
- 1336291038
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2007 (19.532497663392 yrs)
- Last Updated
- Oct 30, 2025
- Licenses
-
64805 (TN)24464 (NV)45984 (AZ)45984 (AZ)24464 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1800 W CHARLESTON BLVDLAS VEGAS, NV, 891022386Browse NV providers · Browse ZIP 89102
- Phone
- 7023832000
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Therapeutic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Therapeutic Radiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERTO MOLINA MARTINEZ | MD | 1346245362 |
| LAURIE SUSAN SELTZER | D.O. | 1578561650 |
| MICHAEL ALLEN BARON | M.D. | 1821096827 |
| AANSHU AGGARWAL SHAH | M.D. | 1134129893 |
| DAVID RANDALL MIRICH | MD | 1861492522 |
| LISA DEE NELSON | MD | 1770583437 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.