Southern New Mexico Diagnostics LLC
NPI #1730476748 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1730476748
- Entity Type
- Organization
- Organization Name
- Southern New Mexico Diagnostics LLC
- Primary Specialty
- Clinic/Center - Radiology, Mobile
- Enumeration Date
- Jun 29, 2011
- Last Updated
- Jun 26, 2015
Practice Location
- Address
- 3850 E LOHMAN AVE
- Address 2
- SUITE C
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-8288
- Phone
- (575) 522-1974
Authorized Official
- Name
- BRETT R. HENDERSON, M.D.
- Title
- OFFICER
- Phone
- (525) 522-1974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mobile — Radiology, Mobile |
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