# NEW MEXICO SONOGRAPHICS INC

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

## Provider details

- **NPI number:** 1730259805
- **Authorized official:** MELISSA JETER (PRACTICE MANAGER)
- **Authorized official phone:** (505) 875-1583

## Contact information

- **Practice address:** 4600 A MONTGOMERY NE, STE 105, ALBUQUERQUE, NM 87109-1292
- **Practice address phone:** (505) 875-1583
- **Practice address fax:** (505) 830-2023
- **Mailing address:** 4600 A MONTGOMERY NE, STE 105, ALBUQUERQUE, NM 87109-1292
- **Mailing address phone:** (505) 875-1583
- **Mailing address fax:** (505) 830-2023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |
| 2471C3402X | Radiography Radiologic Technologist | — | NULL | — |
| 2471C3402X | Radiography Radiologic Technologist | — | — | — |
| 2471S1302X | Sonography Radiologic Technologist | — | NM | — |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 43927858 | — | NM |