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LAS CRUCES PHYSICIAN PRACTICES LLC NPI 1770766768


NPI Information

NPI: 1770766768
Provider Name: LAS CRUCES PHYSICIAN PRACTICES, LLC

Doing Business As: MMC RADIOLOGY

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
2450 S TELSHOR BLVD
LAS CRUCES, NM
ZIP 88011
Phone: (505) 521-5277
Get Directions

LAS CRUCES PHYSICIAN PRACTICES, LLC is a vascular and interventional radiology radiology in Las Cruces, NM. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. LAS CRUCES PHYSICIAN PRACTICES, LLC NPI is 1770766768. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mmc Radiology.

The provider's business location address is:

2450 S TELSHOR BLVD
LAS CRUCES, NM
ZIP 88011-069
Phone: (505) 521-5277

The provider's authorized official is Angie Mangum .
The authorized official title is Director Physician Services and has the following contact phone number (505) 521-5277.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 12/12/2007.


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
12085R0202XRadiologyDiagnostic RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyYes

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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