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Organization
CITY MOBILE ULTRASOUND, LLC
Active
Organization
CITY MOBILE ULTRASOUND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JUDITH BRECKENRIDGE RDMS, RVT, RDCS (OWNER)
(504) 512-3237
Entity
Organization
Contact information
Practice address
524 RICHMOND DR SE, ALBUQUERQUE, NM 87106-2328
(504) 512-3237
Mailing address
308A CAMINO DEL SOL, ESPANOLA, NM 87532-2568
(504) 512-3237
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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