PDI HEALTH NM LLC (NPI# 1811510183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811510183 |
| Entity Type | Organization |
| Organization Name | PDI HEALTH NM LLC |
| Practice Address |
500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 |
| Mailing Address |
12 Spencer St Brooklyn NY 11205-1891 |
| Practice Telephone | 8007499729 |
| Mailing Telephone | 8007499729 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | MENACHEM TAUBER (CEO) |
| Authorized Official Telephone | 8007499729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873716 | Pdi Health Nm LLC | Clinic/Center | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2020-05-21 |
| Street Address |
500 MARQUETTE AVE NW STE 1200 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366737066 | Jennifer Marie Reilly | Behavioral Analyst | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2011-06-10 |
| 1447873716 | Pdi Health Nm LLC | Clinic/Center | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2020-05-21 |
| 1871129205 | Steven Munoz | Licensed Practical Nurse | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2020-03-17 |
| 1205499027 | Briana Borjas | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2019-04-17 |
| 1679038913 | Laura Fadraga | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2019-01-31 |
| 1285108803 | Morgan Messina | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2019-01-16 |
| 1740750447 | Angela Fioravantes Corelis | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2018-11-26 |
| 1659840437 | Maria A Prieto | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2018-11-21 |
| 1467928333 | Josephlee Winn | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2018-10-18 |
| 1841779345 | Nikkole Vega | Behavior Technician | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147706 | Radphysics Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5405 High Desert Pl Ne, Albuquerque, NM 87111-9238 | 2020-05-29 |
| 1003294240 | Colmed Medical Laboratories & Radiology | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3201 University Blvd Se Ste 201, Albuquerque, NM 87106-5634 | 2015-05-07 |
| 1407164064 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2501 Yale Blvd Se Ste 201, Albuquerque, NM 87106-4200 | 2010-09-16 |
| 1356388607 | Schryver Medical Sales and Marketing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 514 Pope St Ne, Albuquerque, NM 87107-2235 | 2006-06-02 |
| 1730130410 | Transray Diagnostic, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 703 Osuna Rd Ne, Suite 3, Albuquerque, NM 87113-1391 | 2006-05-15 |
| 1306829213 | On Site Radiography, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2005-11-23 |
| 1457698557 | Quality Medical Imaging of New Mexico Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6501 4th St Nw, Suite H 5, Albuquerque, NM 87107-5800 | 2013-01-09 |
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| 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.