Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Optumcare Endoscopy Center New Mexico, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1962685834

Optumcare Endoscopy Center New Mexico, LLC is an Ambulatory Surgical Clinic/Center in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5400 Gibson Blvd SE Fl 2; Elevator C
Albuquerque, NM 87108-4729
Phone: (505) 262-7174
Fax: (505) 262-3562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence PENDING (NM)

Record details

NPI number1962685834
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDavita Medical Group New Mexico, LLC
Authorized official John Liethen — Secretary · (952) 205-6262
Other names Davita Medical Endoscopy; Davita Medical Endoscopy
NPI enumeratedDecember 13, 2007
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020
Mailing addressPo Box 912680, Denver, CO 80291-4729

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