Organization Active NPI

Presbyterian Magnetic Resonance

  • Body Imaging Physician
  • Albuquerque, NM
National Provider Identifier
1750353876
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
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

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
52713MedicaidNM

Other names 1

  • Presbyterian MRI Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.