ADLER MEDICAL LLC NPI 1700269412

NPI Information

NPI: 1700269412
Provider Name: ADLER MEDICAL LLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: ADLER MEDICAL CENTER
CLIA Number: 32D2098738
Address: 4241 MONTGOMERY BLVD NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 883-8099

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NPI Details

ADLER MEDICAL LLC is a primary care clinic center in Albuquerque, NM. ADLER MEDICAL LLC NPI is 1700269412. The provider is registered as an organization entity type.
The provider Is Doing Business As Adler Medical Center.

The provider's business location address is:

4241 MONTGOMERY BLVD NE
ALBUQUERQUE, NM
ZIP 87109-081
Phone: (505) 883-8099
Fax: (505) 833-8649

The provider's authorized official is Ethan Adler .
The authorized official title is Owner/provider and has the following contact phone number (505) 506-4445.

The CLIA number assigned to this NPI record is 32D2098738 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2015 and was last updated on 7/7/2020.

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	261QP2300X	Clinic/Center	Primary Care	CNP-02214	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16984064	OTHER	NEW MEXICO	MEDICARE NBR 311347YL1G
2	16984064	MEDICAID	NEW 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: 11/21/2025

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