Southern New Mexico Diagnostics LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SOUTHERN NEW MEXICO DIAGNOSTICS LLC

Practice address

3850 E Lohman Ave
Suite C
Las Cruces, NM 88011-8288

Phone

(575) 522-1974

Fax

(575) 522-5209

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Brett R. Henderson, M.D.NPI 1598818189

Title

Officer

Phone

(525) 522-1974

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brett R Henderson, M.D.

  • Neurological Surgery Physician
  • Las Cruces, NM
  • NPI 1598818189
  NPD (past) Authorized official

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1730476748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13668",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880133668",
            "telephone_number": "575-522-1974",
            "fax_number": "575-522-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E LOHMAN AVE",
            "address_2": "SUITE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118288",
            "telephone_number": "575-522-1974",
            "fax_number": "575-522-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW MEXICO DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "525-522-1974",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South West Helping Hands LLC
• South West Helping Hands Surgical Assistant
• Jessie Lorraine South
• Southern New Mexico Dental Group PC (Hillrise Dental)
• Southern New Mexico Diabetes Outreach
• Southern New Mexico Family Neurology LLC
• Southern New Mexico Heart and Vascular Group LLC
• Southern New Mexico Neurosurgery LLC
• Southern New Mexico Psychological Associates PA
• Southwest Air Ambulance

• Mobile Radiology Clinic/Center in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Mobile Radiology Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.