Organization
ON SITE RADIOGRAPHY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL MONTANO R.T. (CEO)
(505) 843-9836
Entity
Organization
Contact information
Practice address
7208 RELAMPAGO ST NW, ALBUQUERQUE, NM 87120-1501
(505) 843-9836
(505) 332-9825
Mailing address
7208 RELAMPAGO ST NW, ALBUQUERQUE, NM 87120-1501
(505) 843-9836
(505) 332-9825
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
03006400007
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM007G75
BCBS OF NM PROVIDER #
NM
05
—
01856278
—
NM
Enumeration date
11/23/2005
Last updated
10/02/2024
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