# VASCULAR DIAGNOSTIC SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053453092
- **Authorized official:** MR. JOHN T. NICKELS (PRESIDENT)
- **Authorized official phone:** (505) 921-2430

## Contact information

- **Practice address:** 2474 INDIAN WELLS RD, ALAMOGORDO, NM 88310-3831
- **Practice address phone:** (505) 443-0339
- **Mailing address:** PO BOX 247, ALAMOGORDO, NM 88311-0247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NULL | Yes |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020