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INDIAN WELLS ULTRASOUND IMAGING INC NPI 1215016415


NPI Information

NPI: 1215016415
Provider Name: INDIAN WELLS ULTRASOUND IMAGING INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
205 W BOUTZ RD. BLDG #1
LAS CRUCES, NM
ZIP 88005
Phone: (505) 532-7000
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INDIAN WELLS ULTRASOUND IMAGING INC is a radiology clinic center in Las Cruces, NM. INDIAN WELLS ULTRASOUND IMAGING INC NPI is 1215016415. The provider is registered as an organization entity type.

The provider's business location address is:

205 W BOUTZ RD. BLDG #1
LAS CRUCES, NM
ZIP 88005
Phone: (505) 532-7000
Fax: (505) 532-7129

The provider's authorized official is Charles Jackson Wooddell .
The authorized official title is President and has the following contact phone number (505) 443-0339.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiology106930NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.