# GRANT COUNTY IMAGING CENTER LLC

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

## Provider details

- **NPI number:** 1538466099
- **Authorized official:** RAMAKRISHNA DEVASTHALI MD (MEMBER)
- **Authorized official phone:** (575) 556-1800

## Contact information

- **Practice address:** 1600 E 32ND ST, SILVER CITY, NM 88061-7287
- **Practice address phone:** (575) 534-9033
- **Practice address fax:** (575) 534-9057
- **Mailing address:** 205 W BOUTZ RD, BLDG 1, LAS CRUCES, NM 88005-3259
- **Mailing address phone:** (575) 532-7000
- **Mailing address fax:** (575) 532-7025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2011
- **Last updated:** 08/17/2011