Organization
LOVELACE HEALTH SYSTEMS LLC
Active
Parent organization
ARDENT LEGACY HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT LEGACY HOLDINGS, LLC
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-5220
(505) 727-5225
Mailing address
4101 INDIAN SCHOOL RD NE, SUITE 405, ALBUQUERQUE, NM 87110-3988
(505) 727-5220
(505) 727-5225
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
05/29/2019
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