LAS CRUCES PET IMAGING LLC NPI 1295765360

NPI Information

  • NPI: 1295765360
  • Provider Name: LAS CRUCES PET IMAGING, LLC
  • Classification: Radiologic Technologist - 2471N0900X
  • Specialization: Nuclear Medicine Technology
  • Entity Type: Organization
  • Address: 1121 MALL DRIVE
    SUITE D
    LAS CRUCES, NM
    ZIP 88011
  • Phone: (575) 522-5540

Map and Directions

Get Directions

NPI Details

LAS CRUCES PET IMAGING, LLC is a nuclear medicine technology radiologic technologist in Las Cruces, NM. The provider is a radiologic technologist who specializes in nuclear medicine technology and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of nuclear medicine imaging, administration of radiopharmaceuticals to patients, exam techniques, equipment protocols, radiation safety, and patient care. LAS CRUCES PET IMAGING, LLC NPI is 1295765360. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1121 MALL DRIVE
SUITE D
LAS CRUCES, NM
ZIP 88011-102
Phone: (575) 522-5540
Fax: (575) 522-3259

The provider's authorized official is Chuck Wiltshire .
The authorized official title is Ceo and has the following contact phone number (919) 349-6300.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

The enumeration date for this NPI number is 7/4/2006 and was last updated on 1/19/2012.

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
12471N0900XRadiologic TechnologistNuclear Medicine TechnologyNo
22471N0900XRadiologic TechnologistNuclear Medicine Technology3834NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
149439065MEDICAIDNEW MEXICO
2300521065MEDICARE 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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI