# INNERFACE IMAGING LLC

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

## Provider details

- **NPI number:** 1063421089
- **Authorized official:** E GARY FICHTNER (OWNER)
- **Authorized official phone:** (505) 314-1669

## Contact information

- **Practice address:** 8400 OSUNA BLVD NE, SUITE 5C, ALBUQUERQUE, NM 87111
- **Practice address phone:** (505) 314-1669
- **Practice address fax:** (505) 314-1670
- **Mailing address:** 4630 EUBANK BLVD NE, ALBUQUERQUE, NM 87111
- **Mailing address phone:** (505) 323-9906
- **Mailing address fax:** (505) 298-7227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 08/22/2020