| NPI | 1407936917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX LOBERA Owner/Physician 505-532-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM 2000-62) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |