SUMMIT IMAGING LLC NPI 1497855381

NPI Information

  • NPI: 1497855381
  • Provider Name: SUMMIT IMAGING LLC
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • Doing Business As: CLOVIS OPEN MRI
  • Address: 821 LEXINGTON RD
    CLOVIS, NM
    ZIP 88101
  • Phone: (575) 763-6144

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NPI Details

SUMMIT IMAGING LLC is a magnetic resonance imaging (mri) clinic center in Clovis, NM. SUMMIT IMAGING LLC NPI is 1497855381. The provider is registered as an organization entity type.
The provider Is Doing Business As Clovis Open Mri.

The provider's business location address is:

821 LEXINGTON RD
CLOVIS, NM
ZIP 88101-466
Phone: (575) 763-6144
Fax: (575) 763-6147

The provider's authorized official is Jesse Martin .
The authorized official title is Owner and has the following contact phone number (575) 763-6144.

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.

  • Injection, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of pelvis without contrast (HCPCS:72195)

The enumeration date for this NPI number is 9/22/2006 and was last updated on 10/3/2022.

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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)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
195687262MEDICAIDNEW MEXICO
204074975MEDICAIDNEW MEXICO
3P00182692OTHERRR MEDICARE
4P00182692OTHERRAILROAD MEDICARE

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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