NEW MEXICO IMAGING AND WELLNESS


Address: 401 Edith Blvd, Suite B-1, Albuquerque, NM 87102-2509
Phone: 5052387400

NEW MEXICO IMAGING AND WELLNESS (NPI# 1275759391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275759391
Entity Type Organization
Organization Name NEW MEXICO IMAGING AND WELLNESS
Practice Address 401 Edith Blvd
Suite B-1
Albuquerque
NM 87102-2509
Mailing Address 4 Tennis Ct Nw
Albuquerque
NM 87120-1810
Practice Telephone 5052387400
Mailing Telephone 5052387400
Enumeration Date 2007-04-17
Last Update Date 2020-08-22
Authorized Official Name MR. JOHN TERLUN BADAL (PRESIDENT)
Authorized Official Telephone 5052387400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 401 EDITH BLVD
SUITE B-1
City ALBUQUERQUE
State NM
Zip Code 87102-2509

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1538466099 Grant County Imaging Center LLC Clinic/Center 1600 E 32nd St, Silver City, NM 88061-7287 2011-02-18
1760795330 Mercy Regional Medical Center of Durango Clinic/Center 604 S Rio Grande Ave, Aztec, NM 87410-2260 2010-07-23
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Competitor

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City ALBUQUERQUE
Zip Code 87102

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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