WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC; NPI #1336297712

Contact Information

WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC

3901 LOUISIANA BLVD NE
SUITE E
ALBUQUERQUE, NM 87110-1577

Phone: 505-883-5066
Fax: 505-888-9466
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental Laboratory	292200000X

Indicates primary specialty

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NPI Profile & details for WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC

NPI Number 1336297712

LBN Legal business name WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC

Authorized official DEBRA BURNS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/08/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

FA0000071

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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WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC

Contact Information

Specialty

Dental Laboratory

NPI Profile & details for WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC

Reviews for WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC