LINCOLN COUNTY RADIOLOGY LLC NPI 1124039235

NPI Information

NPI: 1124039235
Provider Name: LINCOLN COUNTY RADIOLOGY LLC
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Address: 211 SUDDERTH DR
RUIDOSO, NM
ZIP 88345
Phone: (575) 257-8200

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NPI Details

LINCOLN COUNTY RADIOLOGY LLC is a diagnostic radiology radiology in Ruidoso, NM. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LINCOLN COUNTY RADIOLOGY LLC NPI is 1124039235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

211 SUDDERTH DR
RUIDOSO, NM
ZIP 88345
Phone: (575) 257-8200

The provider's authorized official is Donald A. Wolfel .
The authorized official title is President and has the following contact phone number (575) 532-7000.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 6/30/2009.

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			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	800521118	MEDICARE PIN	NEW MEXICO
2	DG0346	OTHER		RR MEDICARE
3	22285	MEDICAID	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: 11/21/2025

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