NPI 1114612314
Krystal Clear Imaging LLC
Practice location
- Address
- 7007 Jefferson St NE, Albuquerque, NM 87109-4450
- Phone
- (505) 303-0372
- Mailing address
- 1529 Peppoli Loop SE, Rio Rancho, NM 87124-8775
Authorised official
- Name
- Krystal Griego
- Title
- Owner
- Phone
- (505) 977-4788
Registered specialties (2)
Diagnostic Ultrasound Physician
Primary
Vascular Sonography Radiologic Technologist
Registry record
- NPI
- 1114612314
- Entity type
- Organization
- NPI issued
- 5 Apr 2023
- Record last updated
- 14 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.