Organization
ADVANCED IMAGING LLC
Active
Organization
ADVANCED IMAGING LLC
Active
Other names
High Resolution
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIOLA TRUJILLO (LICENSING COORDINATOR)
(505) 332-6919
Entity
Organization
Contact information
Practice address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6919
(505) 332-6921
Mailing address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6919
(505) 332-6921
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
01/24/2007
Last updated
10/18/2007
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