Imaging Center of Clovis, LLC
NPI #1740563444 in Clovis, New Mexico
Provider Information
- NPI Number
- 1740563444
- Entity Type
- Organization
- Organization Name
- Imaging Center of Clovis, LLC
- Primary Specialty
- Clinic/Center - Radiology, Mammography
- Enumeration Date
- Sep 20, 2011
- Last Updated
- Sep 20, 2011
Practice Location
- Address
- 2105 W 21ST ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-4017
- Phone
- (575) 935-9729
Authorized Official
- Name
- MRS. JEANANNE MAZZOLINI, RT( R)( M)
- Title
- OWNER
- Phone
- (575) 693-3770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mammography — Radiology, Mammography |
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