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General NPI Number Information
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NPI Number | 1306829213
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Entity Type | Organization
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Legal Business Name | ON SITE RADIOGRAPHY, INC.
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 7208 RELAMPAGO ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-1501
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Country | US
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Telephone | 505-843-9836
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Fax | 505-332-9825
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Provider Business Mailing Address
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Address Line | 7208 RELAMPAGO ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-1501
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Country | US
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Telephone | 505-843-9836
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Fax | 505-332-9825
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Authorized Official
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Title or Position | CEO
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Name | MRS. APRIL MONTANO
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Credential | R.T.
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Telephone | 505-843-9836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | 03006400007
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License Number State | NM
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