LAS CRUCES IMAGING LLC NPI 1780848135

Clinic/Center (Radiology, Mammography) in Las Cruces, NM

NPI 1780848135 Organization Clinic/Center Radiology, Mammography

About LAS CRUCES IMAGING LLC

Las Cruces Imaging Llc is a provider established in Las Cruces, New Mexico specializing in clinic/center (radiology, mammography) . The NPI number of Las Cruces Imaging Llc is 1780848135 and was assigned on July 2008. The practitioner's primary taxonomy code is 261QR0206X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ramakrishna Devasthali (Md/president)

NPI

1780848135

Provider NameLAS CRUCES IMAGING LLC
Provider Location Address160 S ROADRUNNER PKWY LAS CRUCES, NM 88011
Provider Mailing Address205 W BOUTZ RD BLDG 1 LAS CRUCES, NM 88005
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-15-2008
Last Update Date07-15-2008


Primary Taxonomy

Taxonomy Code261QR0206X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRadiology, Mammography

Business Address

LAS CRUCES IMAGING LLC
160 S ROADRUNNER PKWY
LAS CRUCES, NM
ZIP 88011
Phone: (575) 556-1800

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Mailing Address

LAS CRUCES IMAGING LLC
205 W BOUTZ RD BLDG 1
LAS CRUCES, NM
ZIP 88005
Phone: (575) 532-7000



Authorized Official

Authorized Official Name RAMAKRISHNA DEVASTHALI
Authorized Official TitleMD/PRESIDENT
Authorized Official Phone(575) 532-7000

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
800521138MEDICARE PIN (08)NM

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831235738 EDUARDO J. MARTINEZ MD
Individual
Radiology (Diagnostic Radiology)160 S ROADRUNNER PKWY
LAS CRUCES, NM 88011
(575) 556-1800
1285603340 RAMAKRISHNA DEVASTHALI MD
Individual
Radiology (Diagnostic Radiology)160 S ROADRUNNER PKWY
LAS CRUCES, NM 88011
(575) 556-1800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.