Provider Demographics
NPI:1275801359
Name:VISIONQUEST I-RX INC
Entity Type:Organization
Organization Name:VISIONQUEST I-RX INC
Other - Org Name:VISIONQUEST BIOMEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-508-1994
Mailing Address - Street 1:2501 YALE BLVD SE STE 301
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4358
Mailing Address - Country:US
Mailing Address - Phone:505-508-1994
Mailing Address - Fax:505-508-5308
Practice Address - Street 1:2501 YALE BLVD SE STE 301
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4358
Practice Address - Country:US
Practice Address - Phone:505-508-1994
Practice Address - Fax:505-508-5308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty