MEDICARE: AMERICA'S MEDICAL DIAGNOSTICS CENTER- AMDXC-LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QR0200X	Radiology Clinic/Center
2	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
3	291U00000X	Clinical Medical Laboratory
4	246QL0900X	Laboratory Management Specialist/Technologist
5	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1992319818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICA'S MEDICAL DIAGNOSTICS CENTER- AMDXC-LLC

Provider Business Mailing Address
First Line	:	10420 MONTWOOD DR STE N121
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-2701
Country	:	US
Telephone Number	:	915-888-7549
Fax Number	:	915-218-6518

Provider Business Practice Location Address
First Line	:	10420 MONTWOOD DR STE N121
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-2701
Country	:	US
Telephone Number	:	915-888-7549
Fax Number	:	915-218-6518

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	IVAN M CHAVEZ
Credential	:
Telephone Number	:	915-888-7549

Provider Enumeration Date	:	09/08/2020
Last Update Date	:	02/19/2026

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