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A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Portable Xray Supplier |
335V00000X | 63 | Portable X-Ray Supplier |
| NPI # | 1023730637 |
| LBN Legal business name | ADVANTAGE MOBILE DIAGNOSTIC IMAGING LLC |
| Authorized official | CHARLES MONTOYA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/12/2022 |
| Last updated | 09/12/2022 - About 4 years ago |
| Identifiers | n/a |
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| JUDITH S SCHNEIDER, L.I.S.W. 21074A HIGHWAY 84 ABIQUIÚ, NM |
| LAS CLINICAS DEL NORTE INCORPORATED 21192 HIGHWAY 84 ABIQUIÚ, NM |
| ASHLEY E HARDISON HOUSE 9 ABIQUIU VILLAGE ABIQUIÚ, NM |
| ELENA MONTOYA 10 MISSION PLACE ABIQUIÚ, NM |
| CLARISSA MONDRAGON, RN 21342 US HIGHWAY 84 ABIQUIÚ, NM |
ADVANTAGE MOBILE DIAGNOSTIC IMAGING LLC