Abq MRI, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

ABQ MRI, LLC

Practice address

3911 4TH St NW Ste a
Albuquerque, NM 87107-2510

Phone

(505) 361-1931

Fax

(505) 521-5147

NPI assigned

Jun 29, 2021

Last updated

Feb 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Hunter Jochem

Title

Ceo

Phone

(505) 361-1931

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1902476203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 JOHN CARPENTER FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474832",
            "telephone_number": "505-514-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 4TH ST NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072510",
            "telephone_number": "505-361-1931",
            "fax_number": "505-521-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABQ MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "JOCHEM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-361-1931"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.