Organization
SOUTHERN NEW MEXICO DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT R. HENDERSON M.D. (OFFICER)
(525) 522-1974
Entity
Organization
Contact information
Practice address
3850 E LOHMAN AVE, SUITE C, LAS CRUCES, NM 88011-8288
(575) 522-1974
(575) 522-5209
Mailing address
PO BOX 13668, LAS CRUCES, NM 88013-3668
(575) 522-1974
(575) 522-5209
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
06/26/2015
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