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Organization
KRYSTAL CLEAR IMAGING LLC
Active
Organization
KRYSTAL CLEAR IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL GRIEGO (OWNER)
(505) 977-4788
Entity
Organization
Contact information
Practice address
7007 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4450
(505) 303-0372
Mailing address
1529 PEPPOLI LOOP SE, RIO RANCHO, NM 87124-8775
(505) 303-0372
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
04/05/2023
Last updated
03/14/2025
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