Organization
NEW MEXICO MEDICAL DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL RICK MARTINEZ I RVT (OWNER)
(505) 553-6847
Entity
Organization
Contact information
Practice address
2004 ARENAL RD SW, ALBUQUERQUE, NM 87105-4043
(505) 553-6847
(150) 587-7138
Mailing address
2004 ARENAL RD SW, ALBUQUERQUE, NM 87105-4043
(505) 553-6847
(150) 587-7138
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
ARDMS123249
NM
2471S1302X
Sonography Radiologic Technologist
ARDMS123249
NM
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
Primary
ARDMS123249
NM
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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