Summit Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SUMMIT IMAGING LLC

Practice address

821 Lexington Rd
Clovis, NM 88101-4466

Phone

(575) 763-6144

Fax

(575) 763-6147

NPI assigned

Jul 21, 2022

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lissette Ramirez

Title

Billing

Phone

(575) 763-6144

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles L Domson II, M.D.

  • Diagnostic Radiology Physician
  • Leesburg, FL
  • NPI 1841281557
  NPD
• Kenneth Fox, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1164439873
  NPD
• Jayson A Lord, M.D.

  • Diagnostic Radiology Physician
  • Lantana, FL
  • NPI 1285625046
  NPD

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1326773482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 LEXINGTON RD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014466",
            "telephone_number": "575-763-6144",
            "fax_number": "575-763-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 LEXINGTON RD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014466",
            "telephone_number": "575-763-6144",
            "fax_number": "575-763-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "575-763-6144"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "summitimg.com",
            "affiliation": "N",
            "address_1": "821 Lexington Rd",
            "city": "Clovis",
            "state": "NM",
            "country_code": "US",
            "postal_code": "881014466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Larissa M Stieg, RN, BSN
• Kraig Stockstill
• Strong Devotion Therapies LLC
• Julie Stroud
• Sharon Suan, PHARM D
• Summit Imaging LLC (Clovis Open MRI)
• Supportive Care ABA NM LLC
• Surgery Center of Eastern New Mexico LLC
• Hanna Swearinger
• Jason A Sweeny, BMS

• Radiology Clinic/Center in Clovis, NM
• Providers in Clovis, NM by specialty
• Radiology Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.