Organization
TRANSRAY DIAGNOSTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA T CONSTANT (VICE PRESIDENT)
(505) 717-6018
Entity
Organization
Contact information
Practice address
703 OSUNA RD NE, SUITE 3, ALBUQUERQUE, NM 87113-1391
(505) 717-6018
Mailing address
PO BOX 70035, ALBUQUERQUE, NM 87197-0035
(505) 717-6018
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
FA0036198
NM
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
RRT00642
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56820577
—
NM
Enumeration date
05/15/2006
Last updated
02/20/2018
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