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TAOS SPORTS MEDICINE SERVICES LLC NPI 1407012388


NPI Information

NPI: 1407012388
Provider Name: TAOS SPORTS MEDICINE SERVICES LLC

Doing Business As: DBA TAOS MRI SERVICES

Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
1398 WEIMER RD
TAOS, NM
ZIP 87571
Phone: (575) 737-0304
Get Directions

TAOS SPORTS MEDICINE SERVICES LLC is a magnetic resonance imaging radiologic technologist in Taos, NM. The provider is a radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care. TAOS SPORTS MEDICINE SERVICES LLC NPI is 1407012388. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Taos Mri Services.

The provider's business location address is:

1398 WEIMER RD
TAOS, NM
ZIP 87571-397
Phone: (575) 737-0304

The provider's authorized official is Jocelyn Lucero .
The authorized official title is Office Manager and has the following contact phone number (575) 737-0304.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/31/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471M1202XRadiologic TechnologistMagnetic Resonance ImagingNM3072NEW MEXICOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1650024576MEDICARE PINNEW 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

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