National Provider Identifier Database

LAS CRUCES PET IMAGING LLC
Nuclear Medicine Technology Radiologic Technologist

A radiologic technologist who specializes in nuclear medicine technology and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of nuclear medicine imaging, administration of radiopharmaceuticals to patients, exam techniques, equipment protocols, radiation safety, and patient care.


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
* Nuclear Medicine Technology Radiologic Technologist 2471N0900X

* Indicates primary specialty

NPI Profile & details for LAS CRUCES PET IMAGING, LLC

NPI Number 1295765360
Legal business name
LBN
LAS CRUCES PET IMAGING, LLC
Authorized official CHUCK WILTSHIRE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/04/2006
Last updated 01/19/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 3834
  • NM Medicaid: 49439065

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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