Desert Island Services

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

DESERT ISLAND SERVICES

Practice address

3167 San Mateo NE #305
Albuquerque, NM 87110-1921

Phone

(505) 286-0654

Fax

(505) 281-3022

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth Kircher-Raitt, CST/CFA

Title

President

Phone

(469) 408-6197

Specialties & licenses 1

Addresses

Other names 1

• Southwest Surgical Assisting Doing business as

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1609097740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 SAN MATEO #305",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101921",
            "telephone_number": "505-286-0654",
            "fax_number": "505-281-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 SAN MATEO NE #305",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101921",
            "telephone_number": "505-286-0654",
            "fax_number": "505-281-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ISLAND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "KIRCHER-RAITT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-408-6197",
        "authorized_official_credential": "CST/CFA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Surgical Assisting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgical Technologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Surgical Technologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.