NEW MEXICO MEDICAL DIAGNOSTICS LLC (NPI# 1689969958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689969958 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO MEDICAL DIAGNOSTICS LLC |
| Practice Address |
2004 Arenal Rd Sw Albuquerque NM 87105-4043 |
| Practice Telephone | 5055536847 |
| Practice Fax Number | 1505877138 |
| Mailing Telephone | 5055536847 |
| Mailing Fax Number | 1505877138 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Authorized Official Name | MR. ANGEL RICK MARTINEZ I (OWNER) |
| Authorized Official Telephone | 5055536847 |
| Authorized Official Credential | RVT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
ARDMS123249 | NM | Technologists, Technicians & Other Technical Service Providers |
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
ARDMS123249 | NM | Technologists, Technicians & Other Technical Service Providers |
| Y | 2471V0106X |
Radiologic Technologist Specialization: Vascular-Interventional Technology |
ARDMS123249 | NM | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2004 ARENAL RD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215106885 | Ange; R Martinez | Radiologic Technologist | 2004 Arenal Rd Sw, Albuquerque, NM 87105-4043 | 2008-02-27 |
| 1740449750 | Christopher T Martinez | Radiologic Technologist | 2004 Arenal Rd Sw, Albuquerque, NM 87105-4043 | 2008-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 2471V0106X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Vascular-Interventional Technology |
| Definition to come. |
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on NEW MEXICO MEDICAL DIAGNOSTICS LLC.
| 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.