NPIMap

Organization Active NPI

New Mexico Medical Diagnostics LLC

  • Vascular-Interventional Technology Radiologic Technologist
  • Albuquerque, NM
National Provider Identifier
1689969958
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular-Interventional Technology Radiologic TechnologistTaxonomy code 2471V0106X
License
ARDMS123249 Issued in NM
Legal business name
NEW MEXICO MEDICAL DIAGNOSTICS LLC
Practice address
2004 Arenal Rd SW
Albuquerque, NM 87105-4043
Phone
(505) 553-6847
Fax
(150) 587-7138
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Mr. Angel Rick Martinez I, RVT
Title
Owner
Phone
(505) 553-6847

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2903X ARDMS123249 NM
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X ARDMS123249 NM
Vascular-Interventional Technology Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471V0106X ARDMS123249 NM Primary

Addresses

Primary practice location

2004 Arenal Rd SW
Albuquerque, NM 87105-4043

Mailing address

2004 Arenal Rd SW
Albuquerque, NM 87105-4043
Phone (505) 553-6847

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1689969958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 ARENAL RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054043",
            "telephone_number": "505-553-6847",
            "fax_number": "150-587-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 ARENAL RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054043",
            "telephone_number": "505-553-6847",
            "fax_number": "150-587-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO MEDICAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-553-6847",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "NM",
            "license": "ARDMS123249",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NM",
            "license": "ARDMS123249",
            "primary": false
        },
        {
            "code": "2471V0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": "NM",
            "license": "ARDMS123249",
            "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 Jun 15, 2011; 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.