Organization
X-RAYS ON DEMAND ALB LLC
Active
Other names
X-RAYS ON DEMAND ALB
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE J PANN-NAVA AAS (VP)
(505) 903-1039
Entity
Organization
Contact information
Practice address
1804 JUNE ST NE, ALBUQUERQUE, NM 87112-3146
(505) 903-1039
(505) 213-2967
Mailing address
1804 JUNE ST NE, ALBUQUERQUE, NM 87112-3146
(505) 903-1039
(505) 213-2967
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6549721
SECRETARY OF STATE BUSINESS ID
NM
Enumeration date
10/07/2021
Last updated
11/16/2022
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