Organization
NONINVASIVE VASCULAR CONSULTANTS INC
Active
Other names
Osteoporosis Diagnostic Denter
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ALLEN DALE (CEO)
(505) 842-0218
Entity
Organization
Contact information
Practice address
4263 MONTGOMERY NE, SUITE 120, ALBUQUERQUE, NM 87109
(505) 842-0218
(505) 842-1812
Mailing address
4263 MONTGOMERY NE, SUITE 120, ALBUQUERQUE, NM 87109
(505) 842-0218
(505) 842-1812
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
M0010521
NM
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00070796
—
NM
Enumeration date
07/21/2006
Last updated
09/11/2025
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