Albuquerque Urology Associates, Pa
LBN: Albuquerque Urology Associates, Pa
Albuquerque Urology Associates, Pa is an health care organization with primary practice located at 610 Broadway Blvd Ne , Albuquerque NM 87102-2372. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty.
Albuquerque Urology Associates, Pa can be contacted via phone (505) 242-3991, or through Lackner, Jonathan Edward via phone (505) 242-3991.
Contact Information
Primary practice address
610 Broadway Blvd Ne
Albuquerque NM 87102-2372
Phone: (505) 242-3991
Fax: (505) 243-8405
Website:
Authorized official contact:
Name: Lackner, Jonathan Edward Doctor of Medicine (MD)
Phone: (505) 242-3991
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 6682460001 | New Mexico |
Profile Details
| NPI number | 1376569921 |
|---|---|
| LBN Legal business name | Albuquerque Urology Associates, Pa |
| DBA Doing business as | |
| Authorized official | Lackner, Jonathan Edward Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jul 31st, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376569921 | NPPES |
| New Mexico | MEDICAID | 44361 | |
| New Mexico | Other | CS1373 |
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