Healthcare Provider Details

I. General information

NPI: 1700948965
Provider Name (Legal Business Name): G FORCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 JEFFERSON ST NE SUITE 26
ALBUQUERQUE NM
87109-4380
US

IV. Provider business mailing address

7600 JEFFERSON ST NE SUITE 26
ALBUQUERQUE NM
87109-4380
US

V. Phone/Fax

Practice location:
  • Phone: 505-796-9200
  • Fax: 505-796-9205
Mailing address:
  • Phone: 505-796-9200
  • Fax: 505-796-9205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW F STONE
Title or Position: GENERAL MANAGER
Credential:
Phone: 505-796-9200