Active NPI
Quad/Med, LLC
- Primary Care Clinic/Center
- Albuquerque, NM
National Provider Identifier
1386235489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- QUAD/MED, LLC
- Practice address
- 415 Silver Avenue SW, 7TH Floor Alvarado Square
Albuquerque, NM 87102 - Phone
- (414) 566-8400
- NPI assigned
- Feb 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert L Poulsen
- Title
- Cfo
- Phone
- (414) 566-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
415 Silver Avenue SW, 7TH Floor Alvarado Square
Albuquerque, NM 87102
Mailing address
W227N6103 Sussex Rd
Sussex, WI 53089-3969
Phone (414) 566-8400
National Provider Directory
National Provider Directory- Tax ID family
- Quad Med Managment LLC
Locations
415 Silver Ave SW
Fl 7
Albuquerque, NM 87102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751932800000",
"number": "1386235489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W227N6103 SUSSEX RD",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893969",
"telephone_number": "414-566-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SILVER AVENUE SW, 7TH FLOOR ALVARADO SQUARE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "414-566-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUAD/MED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-01",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A",
"authorized_official_last_name": "POULSEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "414-566-8400"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"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 Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.