Healthcare Provider Details

I. General information

NPI: 1922955996
Provider Name (Legal Business Name): AMARAH LYLES RDMS, RVT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 W ALBERTSON DR
HOBBS NM
88240-1929
US

IV. Provider business mailing address

123 W ALBERTSON DR
HOBBS NM
88240-1929
US

V. Phone/Fax

Practice location:
  • Phone: 575-631-7179
  • Fax:
Mailing address:
  • Phone: 575-631-7179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License NumberDMS00563
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: