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1ST MOBILE MEDICAL TESTING LLC NPI 1083388235


NPI Information

NPI: 1083388235
Provider Name: 1ST MOBILE MEDICAL TESTING, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 32D2203849

Address:
989 IVYDALE DR
LAS CRUCES, NM
ZIP 88005
Phone: (575) 496-5551
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1ST MOBILE MEDICAL TESTING, LLC is a specialist in Las Cruces, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. 1ST MOBILE MEDICAL TESTING, LLC NPI is 1083388235. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

989 IVYDALE DR
LAS CRUCES, NM
ZIP 88005-927
Phone: (575) 496-5551

The provider's authorized official is Catherine Louise Wamel .
The authorized official title is Owner and has the following contact phone number (575) 496-5551.

The CLIA number assigned to this NPI record is 32D2203849 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2021 and was last updated on 8/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246RP1900XTechnician, PathologyPhlebotomyNo
2261QR0208XClinic/CenterRadiology, MobileNo
3374U00000XHome Health AideNo
4174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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