INNERFACE IMAGING LLC (NPI# 1063421089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063421089 |
| Entity Type | Organization |
| Organization Name | INNERFACE IMAGING LLC |
| Practice Address |
8400 Osuna Blvd Ne Suite 5c Albuquerque NM 87111 |
| Mailing Address |
4630 Eubank Blvd Ne Albuquerque NM 87111 |
| Practice Telephone | 5053141669 |
| Practice Fax Number | 5053141670 |
| Mailing Telephone | 5053239906 |
| Mailing Fax Number | 5052987227 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | E GARY FICHTNER (OWNER) |
| Authorized Official Telephone | 5053141669 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972512994 | Innerface Imaging LLC | Physiological Laboratory | 10100 N Central Expressway, Ste 100, Dallas, TX 75231 | 2006-08-07 |
| Street Address |
8400 OSUNA BLVD NE SUITE 5C |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326605775 | High Desert Doppler Inc. | Physiological Laboratory | 3825 Eubank Blvd Ne Ste H, Albuquerque, NM 87111-3559 | 2019-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245454073 | Vascular Diagnostic Lab | Physiological Laboratory | 3850 Foothills Rd., #3, Las Cruces, NM 88011-8268 | 2007-04-12 |
| 1750862785 | Advanced Vascular Testing, LLC | Physiological Laboratory | 3850 E Lohman Ave Ste C, Las Cruces, NM 88011 | 2018-08-28 |
| 1356734974 | Southwest Ultrasound Services LLC | Physiological Laboratory | 3865 E Lohman Ave Ste 4, Las Cruces, NM 88011-8292 | 2015-03-05 |
| 1104237981 | Eberhart Sleep Diagnostics Inc | Physiological Laboratory | 3751 N Butler Ave, Suite 105, Farmington, NM 87401-6425 | 2014-05-14 |
| 1588904361 | Cmv Vascular Services | Physiological Laboratory | 3850 Foothills Rd, Suite 3, Las Cruces, NM 88011-4632 | 2013-02-15 |
| 1407195233 | Family Practice Associates of Taos | Physiological Laboratory | 630 Paseo Del Pueblo Sur Ste 150, Taos, NM 87571-7002 | 2013-02-14 |
| 1952585184 | Brazos Valley Cardio Respiratory | Physiological Laboratory | 141-a Mescalero Tr., Ruidoso, NM 88345 | 2007-12-24 |
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on INNERFACE IMAGING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.