Organization Active NPI

Mvi Surgery Center,LLC

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1699159053
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MVI SURGERY CENTER,LLC
Practice address
1720 Wyoming Blvd NE
Albuquerque, NM 87112-3855
Phone
(505) 872-0450
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Jared Leger
Title
Consultant
Phone
(337) 274-6549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1720 Wyoming Blvd NE
Albuquerque, NM 87112-3855

Mailing address

2920 Stanford Dr NE
Suite C
Albuquerque, NM 87107-1807

Other names 1

  • Uptown Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

2920 Stanford Dr NE
Ste C
Albuquerque, NM 87107

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1699159053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 STANFORD DR NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123855",
            "telephone_number": "505-872-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVI SURGERY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "LEGER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "337-274-6549"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2015; 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.