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Contact Information

SOUTHWEST WOMEN'S SONOGRAPHY, LLC
4600 MONTGOMERY BLVD NE
BUILDING A, SUITE 101
ALBUQUERQUE, NM87109-1210
 Phone: 505-884-9687
 Fax: 505-884-9688
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SOUTHWEST WOMEN'S SONOGRAPHY, LLC

NPI # 1679641963
LBN Legal business name SOUTHWEST WOMEN'S SONOGRAPHY, LLC
Authorized official MARY REUSS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2006
Last updated 08/06/2009 - About 17 years ago
Identifiers
NM License # 2003-0502
NM Medicaid 53157532
NM Other 00NM009L79 BLUE CROSS BLUE SHIELD
NM Other P 12036477 MULTIPLAN
NM Other 201045136 PREBYTERIAN HEALTH PLAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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