Active NPI
Presbyterian Magnetic Resonance
- Body Imaging Physician
- Albuquerque, NM
National Provider Identifier
1750353876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- Legal business name
- PRESBYTERIAN MAGNETIC RESONANCE
- Practice address
- 1011 Coal Ave SE
Albuquerque, NM 87106-5205 - Phone
- (505) 243-5050
- Fax
- (505) 766-9006
- NPI assigned
- Feb 2, 2006
- 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
- Adrian Betts
- Title
- Billing Director
- Phone
- (505) 332-5827
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | Primary |
Addresses
Primary practice location
1011 Coal Ave SE
Albuquerque, NM 87106-5205
Mailing address
PO Box 94567
Albuquerque, NM 87199-4567
Phone (505) 243-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52713 | Medicaid | NM |
Other names 1
- Presbyterian MRI Center
National Provider Directory
National Provider DirectoryLocations
1011 Coal Ave SE
Albuquerque, NM 87106
Phone (505) 243-5050
1100 Coal Ave SE
Albuquerque, NM 87106
Phone (505) 243-5050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1740284546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1750353876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94567",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871994567",
"telephone_number": "505-243-5050",
"fax_number": "505-766-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 COAL AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871065205",
"telephone_number": "505-243-5050",
"fax_number": "505-766-9006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESBYTERIAN MAGNETIC RESONANCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "BETTS",
"authorized_official_first_name": "ADRIAN",
"authorized_official_title_or_position": "BILLING DIRECTOR",
"authorized_official_telephone_number": "505-332-5827"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52713",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Presbyterian MRI 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 Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.