Las Cruces Pet Imaging, LLC

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

License

3834 Issued in NM

Legal business name

LAS CRUCES PET IMAGING, LLC

Practice address

1121 Mall Drive
Suite D
Las Cruces, NM 88011-8102

Phone

(575) 522-5540

Fax

(575) 522-3259

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Chuck Wiltshire

Title

Ceo

Phone

(919) 349-6300

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bishnu Rauth, MD

  • Hematology & Oncology Physician
  • Las Cruces, NM
  • NPI 1831297209
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1295765360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 676072",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752676072",
            "telephone_number": "740-266-4908",
            "fax_number": "740-264-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 MALL DRIVE",
            "address_2": "SUITE D",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118102",
            "telephone_number": "575-522-5540",
            "fax_number": "575-522-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES PET IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "WILTSHIRE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-349-6300"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "NM",
            "license": "3834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49439065",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Las Cruces OB Anesthesia LLC
• Las Cruces of Cascadia, LLC
• Las Cruces Orthopaedic Associates, PC
• Las Cruces Pathology Associates LLC
• Las Cruces Personal Injury LLC
• Las Cruces Physician Practices LLC
• Las Cruces Physician Practices LLC
• Las Cruces Physician Practices, LLC
• Las Cruces Physician Practices, LLC
• Las Cruces Physician Practices, LLC

• Nuclear Medicine Technology Radiologic Technologist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Nuclear Medicine Technology Radiologic Technologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.