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NPI 1245011550

NPI 1245011550 : MASTER IMAGING LLC : LAS CRUES, NM

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General NPI Number Information
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    NPI Number           |    1245011550
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    Entity Type          |    Organization 
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    Legal Business Name  |    MASTER IMAGING LLC 
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Dates
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    Enumeration Date     |    10/12/2023
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    Last Update Date     |    06/05/2025
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Provider Practice Location Address
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    Address Line         |    4150 CAMINO COYOTE LN SUITE 1
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    City                 |    LAS CRUES
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    State                |    NM
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    Zip                  |    88011
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    Country              |    US
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    Telephone            |    915-490-7747
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9434 VISCOUNT BLVD STE 220 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79925-7053
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    Country              |    US
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    Telephone            |    575-249-7900
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MD/OWNER
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    Name                 |     KIRON  MASTER 
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    Credential           |    MD
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    Telephone            |    915-490-7747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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