TAOS MOUNTAIN RADIOLOGY INC NPI 1326230939

NPI Information

NPI: 1326230939
Provider Name: TAOS MOUNTAIN RADIOLOGY INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1397 WEIMER RD
RADIOLOGY DEPARTMENT
TAOS, NM
ZIP 87571
Phone: (505) 758-8883
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TAOS MOUNTAIN RADIOLOGY INC is a diagnostic radiology radiology in Taos, NM. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TAOS MOUNTAIN RADIOLOGY INC NPI is 1326230939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1397 WEIMER RD
RADIOLOGY DEPARTMENT
TAOS, NM
ZIP 87571-284
Phone: (505) 758-8883
Fax: (505) 751-7661

The provider's authorized official is Paul Eaton Johnson .
The authorized official title is Owner/partner and has the following contact phone number (505) 758-8883.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 10/16/2007.

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
1	2085R0202X	Radiology	Diagnostic Radiology	MD2002-0304	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I03894	MEDICARE UPIN	NEW MEXICO

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: 4/28/2024

NPI Synchronization or Removal

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