Provider Demographics
NPI:1700948965
Name:G FORCE LLC
Entity type:Organization
Organization Name:G FORCE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:F
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-796-9200
Mailing Address - Street 1:7600 JEFFERSON ST NE
Mailing Address - Street 2:SUITE 26
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4380
Mailing Address - Country:US
Mailing Address - Phone:505-796-9200
Mailing Address - Fax:505-796-9205
Practice Address - Street 1:7600 JEFFERSON ST NE
Practice Address - Street 2:SUITE 26
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4380
Practice Address - Country:US
Practice Address - Phone:505-796-9200
Practice Address - Fax:505-796-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNMB2137Medicare PIN