Organization
MEDICAL IMAGING OF CARLSBAD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACHME T SULLESTA (OFFICE MANAGER)
(575) 887-0323
Entity
Organization
Contact information
Practice address
411 N CANYON, CARLSBAD MEDICAL CENTER, CARLSBAD, NM 88220
(575) 887-0323
(575) 887-8018
Mailing address
411 N CANYON, CARLSBAD, NM 88220
(575) 887-0323
(575) 887-8018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50872
—
NM
Enumeration date
10/18/2006
Last updated
05/16/2008
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