Prime Digital Radiology, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2000-76 Issued in NM

Legal business name

PRIME DIGITAL RADIOLOGY, PC

Practice address

9 W Alary LN
Corrales, NM 87048-8396

Phone

(505) 353-1062

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kiernan Morrow, M.D.

Title

Owner

Phone

(505) 353-1062

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1588028393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W ALARY LN",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488396",
            "telephone_number": "505-353-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W ALARY LN",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488396",
            "telephone_number": "505-353-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DIGITAL RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "KIERNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-353-1062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "2000-76",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Corrales, NM
• Providers in Corrales, NM by specialty
• Diagnostic Radiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.