LAS CRUCES IMAGING LLC NPI 1427091115

NPI Information

NPI: 1427091115
Provider Name: LAS CRUCES IMAGING LLC
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
160 ROADRUNNER PARKWAY
LAS CRUCES, NM
ZIP 88011
Phone: (575) 556-1800
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LAS CRUCES IMAGING LLC is a radiology and mammography clinic center in Las Cruces, NM. LAS CRUCES IMAGING LLC NPI is 1427091115. The provider is registered as an organization entity type.

The provider's business location address is:

160 ROADRUNNER PARKWAY
LAS CRUCES, NM
ZIP 88011
Phone: (575) 556-1800

The provider's authorized official is Ramakrishna Devasthali .
The authorized official title is Md/president and has the following contact phone number (575) 532-7000.

The enumeration date for this NPI number is 6/13/2006 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	261QR0206X	Clinic/Center	Radiology, Mammography			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	04850858	MEDICAID	NEW MEXICO
2	P00210768	OTHER		RR MEDICARE
3	900521079	MEDICARE PIN	NEW MEXICO
4	NM007F99	OTHER	NEW MEXICO	BCBS OF NM

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: 11/14/2023

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