LAS CRUCES IMAGING LLC (NPI# 1427091115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427091115 |
| Entity Type | Organization |
| Organization Name | LAS CRUCES IMAGING LLC |
| Practice Address |
160 Roadrunner Parkway Las Cruces NM 88011 |
| Mailing Address |
205 W. Boutz Rd. Bldg #1 Las Cruces NM 88005 |
| Practice Telephone | 5755561800 |
| Mailing Telephone | 5755327000 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | RAMAKRISHNA DEVASTHALI (MD/PRESIDENT) |
| Authorized Official Telephone | 5755327000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS OF NM | NM007F99 | 01 |
| NM | 04850858 | 05 | |
| RR MEDICARE | P00210768 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780848135 | Las Cruces Imaging LLC | Clinic/Center | 160 S Roadrunner Pkwy, Las Cruces, NM 88011-7044 | 2008-07-15 |
| Street Address |
160 ROADRUNNER PARKWAY |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982647699 | Las Cruces Radiology Associates Inc | Radiology | 160 Roadrunner Parkway, Las Cruces, NM 88011 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780848135 | Las Cruces Imaging LLC | Clinic/Center | 160 S Roadrunner Pkwy, Las Cruces, NM 88011-7044 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740563444 | Imaging Center of Clovis, LLC | Clinic/Center | 2105 W 21st St, Clovis, NM 88101-4017 | 2011-09-20 |
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on LAS CRUCES 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.