Organization
EE RAD NM, INC
Active
Parent organization
EAGLEEYE RADIOLOGY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLEEYE RADIOLOGY, INC
Authorized official
LORI K SITTNER (OFFICE MANAGER)
(703) 652-1200
Entity
Organization
Contact information
Practice address
800 E 9TH AVE, TRUTH OR CONSEQUENCES, NM 87901-1954
(703) 652-1200
(703) 880-7401
Mailing address
12100 SUNRISE VALLEY, SUITE 290-B, RESTON, VA 20191
(703) 652-1200
(703) 880-7401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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