# SOUTHERN NEW MEXICO DIAGNOSTICS LLC

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

## Provider details

- **NPI number:** 1730476748
- **Authorized official:** BRETT R. HENDERSON M.D. (OFFICER)
- **Authorized official phone:** (525) 522-1974

## Contact information

- **Practice address:** 3850 E LOHMAN AVE, SUITE C, LAS CRUCES, NM 88011-8288
- **Practice address phone:** (575) 522-1974
- **Practice address fax:** (575) 522-5209
- **Mailing address:** PO BOX 13668, LAS CRUCES, NM 88013-3668
- **Mailing address phone:** (575) 522-1974
- **Mailing address fax:** (575) 522-5209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2011
- **Last updated:** 06/26/2015