Organization Name: | SOUTHWEST ULTRASOUND SERVICES LLC |
NPI Number: | 1356734974 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA M VALENZUELA (PRESIDENT) |
Mailing Address: | 1110 W Florida St Deming |
State: | NM US |
Postal Code: | 880304908 |
Phone Number: | 5756407393 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2015 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |