| NPI | 1275693780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA T CONSTANT VP 505-899-4018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: NM RRT00642) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2014-05-29 |