Organization Active NPI

Noninvasive Vascular Consultants Inc

  • Mobile Radiology Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1780605469
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
M0010521 Issued in NM
Legal business name
NONINVASIVE VASCULAR CONSULTANTS INC
Practice address
4263 Montgomery NE
Suite 120
Albuquerque, NM 87109
Phone
(505) 842-0218
Fax
(505) 842-1812
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Timothy Allen Dale
Title
Ceo
Phone
(505) 842-0218

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X
Mobile Radiology Clinic/Center 261QR0208X M0010521 NM Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

4263 Montgomery NE
Suite 120
Albuquerque, NM 87109

Mailing address

4263 Montgomery NE
Suite 120
Albuquerque, NM 87109
Phone (505) 842-0218

Other identifiers 1

IdentifierTypeStateIssuer
00070796MedicaidNM

Other names 1

  • Osteoporosis Diagnostic Denter Doing business as

National Provider Directory

National Provider Directory

Locations

4263 Montgomery Blvd NE
Ste 120
Albuquerque, NM 87109
Phone (505) 842-0218

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780605469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4263 MONTGOMERY NE",
            "address_2": "SUITE 120",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-842-0218",
            "fax_number": "505-842-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4263 MONTGOMERY NE",
            "address_2": "SUITE 120",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-842-0218",
            "fax_number": "505-842-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NONINVASIVE VASCULAR CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-842-0218",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NM",
            "license": "M0010521",
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070796",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteoporosis Diagnostic Denter",
            "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 Sep 11, 2025; 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.