Organization Active NPI

Visionary Diagnostics LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1275280414
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VISIONARY DIAGNOSTICS LLC
Practice address
6501 Wyoming Blvd NE
Albuquerque, NM 87109-3932
Phone
(505) 444-2032
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Allen Roy Miner, DC
Title
Owner
Phone
(505) 444-2032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

6501 Wyoming Blvd NE
Albuquerque, NM 87109-3932

Mailing address

803 Silver Ave SW
Albuquerque, NM 87102-3020
Phone (505) 444-2032

National Provider Directory

National Provider Directory

Locations

6501 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 375-0211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1275280414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 SILVER AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023020",
            "telephone_number": "505-444-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093932",
            "telephone_number": "505-444-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-444-2032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.