NPIMap

Organization Active NPI

Alamogordo Imaging Center LLC

  • Diagnostic Radiology Physician
  • Alamogordo, NM
National Provider Identifier
1700852373
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ALAMOGORDO IMAGING CENTER LLC
Practice address
2539 Medical Dr
Ste 101
Alamogordo, NM 88310
Phone
(505) 434-1353
Fax
(505) 434-1398
NPI assigned
Feb 24, 2006
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Samuel J. Brandt
Title
VP/Cfo
Phone
(505) 998-3096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

2539 Medical Dr
Ste 101
Alamogordo, NM 88310

Mailing address

8020 Constitution Place NE
#202
Albuquerque, NM 87110
Phone (505) 998-3096

Other identifiers 2

IdentifierTypeStateIssuer
43551882MedicaidNM
NMA100416OtherNMMEDICARE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2000693Alamogordo Imaging Center2539 Medical Drive, Alamogordo, NM 88310Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2539 Medical Dr
Ste 101
Alamogordo, NM 88310
Phone (505) 434-1353

9461 Eagle Ranch Rd NW
Albuquerque, NM 87114

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1700852373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CONSTITUTION PLACE NE",
            "address_2": "#202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-998-3096",
            "fax_number": "505-998-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 MEDICAL DR",
            "address_2": "STE 101",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "505-434-1353",
            "fax_number": "505-434-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMOGORDO IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "505-998-3096"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43551882",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NMA100416",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.