Active NPI
Noninvasive Vascular Consultants Inc
- Mobile Radiology Clinic/Center
- Albuquerque, NM
National Provider Identifier
1780605469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- M0010521
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00070796 | Medicaid | NM |
Other names 1
- Osteoporosis Diagnostic Denter
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Medicine Physician
- Albuquerque, NM
- NPI 1609035930
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.