Las Cruces Pet Imaging, Llc

LBN: Las Cruces Pet Imaging, Llc
Las Cruces Pet Imaging, Llc is an health care organization with primary practice located at 1121 Mall Drive Suite D, Las Cruces NM 88011-8102. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology, which is considered as the primary health care specialty. Las Cruces Pet Imaging, Llc can be contacted via phone (575) 522-5540, or through Wiltshire, Chuck via phone (919) 349-6300.

Contact Information

Primary practice address
1121 Mall Drive Suite D Las Cruces NM 88011-8102
Phone: (575) 522-5540
Fax: (575) 522-3259
Website:
Map and Directions
Authorized official contact:
Name: Wiltshire, Chuck
Phone: (919) 349-6300

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X 3834 New Mexico

Profile Details

NPI number 1295765360
LBN Legal business name Las Cruces Pet Imaging, Llc
DBA Doing business as
Authorized official Wiltshire, Chuck
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Jan 19th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295765360 NPPES
New Mexico MEDICAID 49439065

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