Organization
LAS CRUCES IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMAKRISHNA DEVASTHALI (MD/PRESIDENT)
(575) 532-7000
Entity
Organization
Contact information
Practice address
160 S ROADRUNNER PKWY, LAS CRUCES, NM 88011-7044
(575) 556-1800
Mailing address
205 W BOUTZ RD BLDG 1, LAS CRUCES, NM 88005-3259
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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