Organization
QUALITY MEDICAL IMAGING OF NEW MEXICO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER C FASELT (PRESIDENT)
(702) 839-1133
Entity
Organization
Contact information
Practice address
6501 4TH ST NW, SUITE H 5, ALBUQUERQUE, NM 87107-5800
(866) 508-4870
(866) 274-0710
Mailing address
2490 PROFESSIONAL CT, SUITE 110, LAS VEGAS, NV 89128-0835
(702) 839-1133
(702) 629-4711
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
4683501
NM
Other
Enumeration date
01/09/2013
Last updated
01/15/2013
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