NPI 1245494723

Optumcare New Mexico, LLC

Organisation Radiologic Technologist Albuquerque, NM

Practice location

Address: 5150 Journal Center Blvd NE, Albuquerque, NM 87109-5900
Phone: (505) 232-1500
Fax: (505) 232-1584
Mailing address: PO Box 26028, Albuquerque, NM 87125-6028

Authorised official

Name: John G Liethen
Title: Secretary
Phone: (952) 205-6262

Registered specialties (9)

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X

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Registry record

NPI: 1245494723
Entity type: Organization
NPI issued: 15 Jul 2008
Record last updated: 20 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.