Organization
ZIA DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY WEIGEL (CHIEF ADMINISTRATIVE OFFICER)
(505) 298-0301
Entity
Organization
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, LOVELACE MEDICAL CENTER, ALBUQUERQUE, NM 87102-3619
(505) 298-0301
(505) 554-3302
Mailing address
PO BOX 4934, ALBUQUERQUE, NM 87196-4934
(505) 298-0301
(505) 554-3302
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NM
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68630786
—
NM
Enumeration date
08/28/2007
Last updated
06/01/2016
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