National Provider Identifier Database

OPTUMCARE NEW MEXICO LLC
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


NPI Profile & details for OPTUMCARE NEW MEXICO, LLC

NPI Number 1245494723
Legal business name
LBN
OPTUMCARE NEW MEXICO, LLC
Authorized official JOHN LIETHEN - (SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 07/15/2008
Last updated 08/20/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 93670567

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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