OrganizationActive
Optumcare New Mexico, LLC
NPI 1245494723 · Radiologic Technologist · Albuquerque, NM
Provider details
- NPI number
- 1245494723
- Entity type
- Organization
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- John Liethen, Secretary(952) 205-6262
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
- Radiography Radiologic Technologist2471C3402X
Technologists, Technicians & Other Technical Service Providers
Practice location
5150 Journal Center Blvd Ne
Albuquerque, NM 87109-5900
Phone: (505) 232-1500
Fax: (505) 232-1584
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 26028
Albuquerque, NM 87125-6028
Other names (DBA / former)
- Doing business as
- Davita Medical Group
Registry dates
- Enumerated
- 2008-07-15
- Last updated
- 2019-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.