State Of New Mexico in Las Vegas - Clinical Medical Laboratory
State Of New Mexico - NPI 1407057607
State Of New Mexico is a Clinical Medical Laboratory in Las Vegas, New Mexico. State Of New Mexico practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for State Of New Mexico is 1407057607. The last update date is 2009-04-30.
State Of New Mexico's current location address is 3695 Hot Springs Blvd, Las Vegas, New Mexico. You can contact this provider via phone number 5054542100. The mailing address for State Of New Mexico is 3695 Hot Springs Blvd, Las Vegas, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of New Mexico |
|---|---|
| Address | 3695 Hot Springs Blvd, Las Vegas, New Mexico |
| Phone Number | 5054542100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FINANCE DI |
|---|---|
| Authorized Official Name | Jaramillo R. Charles |
| Telephone Number | 5054542306 |
NPI Number Detail
| NPI Number | 1407057607 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2009-04-30 |
Provider Mailing Address Detail
| Address | 3695 Hot Springs Blvd |
|---|---|
| City | Las Vegas |
| State | New Mexico (NM) |
| Post Code | 877019549 |
| Phone Number | 5054542100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 32D0653275 |
|
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52431 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to State Of New Mexico by the Centers for Medicare & Medicaid Services?
The State Of New Mexico has been issued the NPI (National Provider Identifier) 1407057607, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of State Of New Mexico?
The State Of New Mexico is situated at 3695 Hot Springs Blvd, in the city of Las Vegas, state of NM, with the zip code 877019549.
What is the area of specialization for State Of New Mexico, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of New Mexico is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of expertise is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407057607 to State Of New Mexico?
The Centers for Medicare & Medicaid Services assigned the 1407057607 to State Of New Mexico on 2007-05-29.
When was the information regarding State Of New Mexico most recently updated?
The details pertaining to the State Of New Mexico, including its address, specialty, and other relevant information, were last refreshed on 2009-04-30.
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