OrganizationActive
Imaging Center of Clovis, LLC
NPI 1740563444 · Mammography Clinic/Center · Clovis, NM
Provider details
- NPI number
- 1740563444
- Entity type
- Organization
- Primary specialty
- Mammography Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeananne Mazzolini, Owner(575) 693-3770
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2105 W 21st St
Clovis, NM 88101-4017
Phone: (575) 935-9729
Fax: (575) 935-9731
Approximate (ZIP-level) locationGet directions
Mailing address
2105 W 21st St
Clovis, NM 88101-4017
Registry dates
- Enumerated
- 2011-09-20
- Last updated
- 2011-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.