Organization
REGIONAL IMAGING ENM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT J COOK II MD (PRESIDENT)
(330) 593-1049
Entity
Organization
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(330) 593-1049
Mailing address
PO BOX 9730, LONGVIEW, TX 75608-9730
(903) 663-4800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59584521
—
NM
Enumeration date
01/11/2021
Last updated
04/15/2025
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