WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC (NPI# 1336297712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336297712 |
| Entity Type | Organization |
| Organization Name | WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC |
| Practice Address |
3901 Louisiana Blvd Ne Suite E Albuquerque NM 87110-1577 |
| Practice Telephone | 5058835066 |
| Practice Fax Number | 5058889466 |
| Mailing Telephone | 5058835066 |
| Mailing Fax Number | 5058889466 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DEBRA BURNS (OWNER) |
| Authorized Official Telephone | 5058835066 |
| Authorized Official Credential | D.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | FA0000071 | NM | Laboratories |
| Street Address |
3901 LOUISIANA BLVD NE SUITE E |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-1577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639143464 | Dennis G. Fillmore | Dentist | 3901 Louisiana Blvd Ne, Albuquerque, NM 87110-1577 | 2006-02-16 |
| 1982925798 | Sandra Mechelle Turner | Social Worker | 3901 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87110-1577 | 2010-06-15 |
| 1346476009 | Sally Carlon | Counselor | 3901 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87110-1577 | 2009-06-08 |
| 1760627368 | Melissa Jeanette Adkins | Counselor | 3901 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87110-1577 | 2008-12-10 |
| 1114023231 | James G Glasa | Dentist | 3901 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87110-1577 | 2006-09-16 |
| 1922060763 | Robert J. Kelly | Dentist | 3901 Louisiana Blvd Ne, Suite B, Albuquerque, NM 87110-1577 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC.
| 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.