OrganizationActive
Lovelace Health System LLC
NPI 1902084809 · Body Imaging Physician · Albuquerque, NM
Provider details
- NPI number
- 1902084809
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ardent Legacy Holdings, LLC
- Authorized official
- Stephen Petrovich, Svp
Practice location
10501 Golf Course Rd Nw
Albuquerque, NM 87114-5019
Phone: (505) 727-2000
Fax: (505) 727-9568
Mailing address
10501 Golf Course Rd Nw
Albuquerque, NM 87114-5019
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2019-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.