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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

NPI # 1295765360
LBN Legal business name LAS CRUCES PET IMAGING, LLC
Authorized official CHUCK WILTSHIRE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/04/2006
Last updated 01/19/2012 - About 14 years ago
Identifiers
NM License # 3834
NM Medicaid 49439065
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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