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Contact Information

LAS CRUCES PET IMAGING, LLC
1121 MALL DRIVE
SUITE D
LAS CRUCES, NM88011-8102
 Phone: 575-522-5540
 Fax: 575-522-3259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Medicine Technology Radiologic Technologist

2471N0900X
Indicates primary specialty

NPI Profile & details for LAS CRUCES PET IMAGING LLC · (Female)

NPI Number 1295765360
Status Active
Credentials
Entity Individual
Enumeration date 07/04/2006
Last updated 01/19/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 3834
  • NM Medicaid 49439065
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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