LIBERTY NEW MEXICO PARTNERS 1 LLC NPI 1336483221

NPI Information

NPI: 1336483221
Provider Name: LIBERTY NEW MEXICO PARTNERS 1, LLC

Doing Business As: LIBERTY DIALYSIS - ALBUQUERQUE

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 32D2066055

Address:
3810 COMMONS AVE NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 345-1224
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LIBERTY NEW MEXICO PARTNERS 1, LLC is an end-stage renal disease (esrd) treatment clinic center in Albuquerque, NM. LIBERTY NEW MEXICO PARTNERS 1, LLC NPI is 1336483221. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis - Albuquerque.

The provider's business location address is:

3810 COMMONS AVE NE
ALBUQUERQUE, NM
ZIP 87109-831
Phone: (505) 345-1224
Fax: (505) 345-9096

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 32D2066055 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2012 and was last updated on 10/17/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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

NPI Synchronization or Removal

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