Davita Medical Endoscopy

LBN: Optumcare Endoscopy Center New Mexico, Llc
Davita Medical Endoscopy is an health care organization with primary practice located at 5400 Gibson Blvd Se Floor 2; Elevator C, Albuquerque NM 87108-4729. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Optumcare Endoscopy Center New Mexico, Llc can be contacted via phone (505) 262-7174, or through Liethen, John G via phone (952) 205-6262.

Contact Information

Primary practice address
5400 Gibson Blvd Se Floor 2; Elevator C Albuquerque NM 87108-4729
Phone: (505) 262-7174
Fax: (505) 262-3562
Website:
Map and Directions
Authorized official contact:
Name: Liethen, John G
Phone: (952) 205-6262

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X PENDING New Mexico

Profile Details

NPI number 1962685834
LBN Legal business name Optumcare Endoscopy Center New Mexico, Llc
DBA Doing business as Davita Medical Endoscopy
Authorized official Liethen, John G
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2007
Last updated Feb 12th, 2020 - about 4 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.

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