Organization
ALAMOGORDO IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL J. BRANDT (VP/CFO)
(505) 998-3096
Entity
Organization
Contact information
Practice address
2539 MEDICAL DR, STE 101, ALAMOGORDO, NM 88310
(505) 434-1353
(505) 434-1398
Mailing address
8020 CONSTITUTION PLACE NE, #202, ALBUQUERQUE, NM 87110
(505) 998-3096
(505) 998-3100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43551882
—
NM
01
—
NMA100416
MEDICARE
NM
Enumeration date
02/24/2006
Last updated
09/22/2014
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