Organization Name: | JCAT IMAGING SERVICES |
NPI Number: | 1023439650 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHNNY RAY CRAIN (OWNER/PRESIDENT) |
Mailing Address: | 311 Los Lentes Rd Se Los Lunas |
State: | NM US |
Postal Code: | 870319224 |
Phone Number: | 5753228175 |
Fax Number: | 5055652272 |
NPI Enumeration Date: | 12/28/2013 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 4312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |