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NEW MEXICO URGENT CARE WALK-IN CLINIC JUAN TABO LLC NPI 1508510199


NPI Information

NPI: 1508510199
Provider Name: NEW MEXICO URGENT CARE WALK-IN CLINIC JUAN TABO LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 32D2207990

Address:
10820 COMANCHE RD NE STE A
ALBUQUERQUE, NM
ZIP 87111
Phone: (505) 508-4068
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NEW MEXICO URGENT CARE WALK-IN CLINIC JUAN TABO LLC is an urgent care clinic center in Albuquerque, NM. NEW MEXICO URGENT CARE WALK-IN CLINIC JUAN TABO LLC NPI is 1508510199. The provider is registered as an organization entity type.

The provider's business location address is:

10820 COMANCHE RD NE STE A
ALBUQUERQUE, NM
ZIP 87111-983
Phone: (505) 508-4068
Fax: (505) 554-1817

The provider's authorized official is Muhammad Naeem Ahmad .
The authorized official title is Medical Director and has the following contact phone number (734) 890-4627.

The CLIA number assigned to this NPI record is 32D2207990 - other - urgent care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2022 and was last updated on 2/11/2022.


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
1261QU0200XClinic/CenterUrgent CareYes

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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