Organization Active NPI

Transray Diagnostic, Inc

  • Mobile Radiology Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1235253071
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
TRANSRAY DIAGNOSTIC, INC
Practice address
2800 San Mateo Blvd NE Ste 108
Albuquerque, NM 87110-3166
Phone
(505) 883-0475
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gina Tassotti Constant
Title
VP
Phone
(505) 899-4018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

2800 San Mateo Blvd NE Ste 108
Albuquerque, NM 87110-3166

Mailing address

9700 Coneflower Dr NW
Albuquerque, NM 87114-3440
Phone (505) 899-4018

Other identifiers 1

IdentifierTypeStateIssuer
56820577MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Transray Diagnostic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2800 San Mateo Blvd NE
Ste 108
Albuquerque, NM 87110
Phone (505) 883-0475

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1235253071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 CONEFLOWER DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143440",
            "telephone_number": "505-899-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SAN MATEO BLVD NE STE 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103166",
            "telephone_number": "505-883-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSRAY DIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "CONSTANT",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "TASSOTTI",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "505-899-4018"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56820577",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.