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PRESBYTERIAN MAGNETIC RESONANCE NPI 1750353876


NPI Information

NPI: 1750353876
Provider Name: PRESBYTERIAN MAGNETIC RESONANCE

Doing Business As: PRESBYTERIAN MRI CENTER

Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

CLIA Number: 32D2150247

Address:
1011 COAL AVE SE
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 243-5050
Get Directions

PRESBYTERIAN MAGNETIC RESONANCE is a body imaging radiology in Albuquerque, NM. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. PRESBYTERIAN MAGNETIC RESONANCE NPI is 1750353876. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Presbyterian Mri Center.

The provider's business location address is:

1011 COAL AVE SE
ALBUQUERQUE, NM
ZIP 87106-205
Phone: (505) 243-5050
Fax: (505) 766-9006

The provider's authorized official is Adrian Betts .
The authorized official title is Billing Director and has the following contact phone number (505) 332-5827.

The CLIA number assigned to this NPI record is 32D2150247 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/2/2006 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152713MEDICAIDNEW MEXICO
2600521002MEDICARE PINNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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