Organization
OSTEO IMAGING INC
Active
Other names
IMAGING EL PASO
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA A COOPER MS CDT (CEO)
(915) 545-2273
Entity
Organization
Contact information
Practice address
1201 E SCHUSTER AVE, BLDG 1A, EL PASO, TX 79902-4646
(915) 545-2273
(915) 545-2203
Mailing address
1201 E SCHUSTER AVE, BLDG 1A, EL PASO, TX 79902-4646
(915) 545-2273
(915) 545-2203
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
R28046 / M00780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0387DC
BCBS OF TEXAS PROVIDER #
TX
05
—
177528001
—
TX
05
—
83635254
—
NM
Enumeration date
08/23/2006
Last updated
09/18/2008
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