Ee Rad NM, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

EE RAD NM, INC

Practice address

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954

Phone

(703) 652-1200

Fax

(703) 880-7401

NPI assigned

Feb 9, 2010

Organization subpart

Yes

Parent organization

EAGLEEYE RADIOLOGY, INCAs reported in NPPES

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

Authorized official

Name

Lori K Sittner

Title

Office Manager

Phone

(703) 652-1200

Specialties & licenses 1

Addresses

Part of

Eagleeye Radiology Inc

Locations

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1689906042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 SUNRISE VALLEY",
            "address_2": "SUITE 290-B",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20191",
            "telephone_number": "703-652-1200",
            "fax_number": "703-880-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "703-652-1200",
            "fax_number": "703-880-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EE RAD NM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLEEYE RADIOLOGY, INC",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "SITTNER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-652-1200"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Truth Or Consequences, NM
• Providers in Truth Or Consequences, NM by specialty
• Diagnostic Radiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.