NPIMap

Organization Active NPI

Advanced Imaging LLC

  • Body Imaging Physician
  • Albuquerque, NM
National Provider Identifier
1851363972
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
ADVANCED IMAGING LLC
Practice address
700 Lomas Blvd NE
4 Woodward Center
Albuquerque, NM 87102-2568
Phone
(505) 243-4401
Fax
(505) 243-6474
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Brian Potts, MDNPI 1932154903
Title
Aothorized Official
Phone
(505) 243-4401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085B0100X Primary

Addresses

Primary practice location

700 Lomas Blvd NE
4 Woodward Center
Albuquerque, NM 87102-2568

Mailing address

PO Box 3202
Indianapolis, IN 46206-3202
Phone (844) 468-9497

Other identifiers 1

IdentifierTypeStateIssuer
000L0634MedicaidNM

Other names 1

  • Albuquerque Imaging Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

700 Lomas Blvd NE
Bldg 4
Albuquerque, NM 87102
Phone (505) 243-4401

4801 Beckner Rd
Ste 2700
Santa Fe, NM 87507
Phone (505) 332-5827

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

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": "1482969600000",
    "number": "1851363972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063202",
            "telephone_number": "844-468-9497",
            "fax_number": "855-630-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LOMAS BLVD NE",
            "address_2": "4 WOODWARD CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022568",
            "telephone_number": "505-243-4401",
            "fax_number": "505-243-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "AOTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "505-243-4401",
        "authorized_official_credential": "MD"
    },
    "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": "000L0634",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albuquerque Imaging 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 Dec 29, 2016; 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.