| Transray Diagnostic, Inc | |
|
703 Osuna Rd Ne Suite 3 Albuquerque NM 87113-1391 | |
| (505) 717-6018 | |
| (505) 883-0608 |
| Full Name | Transray Diagnostic, Inc |
|---|---|
| Speciality | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Location | 703 Osuna Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Gina T Constant (VP) |
| Authorized Official Contact | 5058994018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transray Diagnostic, Inc Po Box 70035 Albuquerque NM 87197-0035 Ph: (505) 717-6018 | Transray Diagnostic, Inc 703 Osuna Rd Ne Suite 3 Albuquerque NM 87113-1391 Ph: (505) 717-6018 |
| NPI Number | 1275693780 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 05/29/2014 |
| Medicare PECOS PAC ID | 8426062506 |
|---|---|
| Medicare Enrollment ID | O20060127000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275693780 | NPI | - | NPPES |
| 56820577 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 335V00000X | Portable X-ray And/or Other Portable Diagnostic Imaging Supplier | RRT00642 (New Mexico) | Primary |
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