RANDALL DEAN WILCOX LAB DIRECTOR NPI 1144592304

NPI Information

NPI: 1144592304
Provider Name: RANDALL DEAN WILCOX, LAB DIRECTOR
Classification: Technician, Pathology - 246RP1900X
Entity Type: Individual

Specialization: Phlebotomy

Address:
383 FOSSIL VIEW RD
LAS CRUCES, NM
ZIP 88007
Phone: (575) 520-3254
Get Directions

Randall Dean Wilcox, LAB DIRECTOR is a phlebotomy technician pathology in Las Cruces, NM. Randall Dean Wilcox, LAB DIRECTOR NPI is 1144592304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

383 FOSSIL VIEW RD
LAS CRUCES, NM
ZIP 88007
Phone: (575) 520-3254

The enumeration date for this NPI number is 2/3/2012 and was last updated on 3/15/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	171W00000X	Contractor			No
2	246RP1900X	Technician, Pathology	Phlebotomy	NEW MEXICO	Yes
3	251E00000X	Home Health			No
4	291U00000X	Clinical Medical Laboratory			No
5	311ZA0620X	Custodial Care Facility	Adult Care Home		No
6	347C00000X	Private Vehicle			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	347C00000X	MEDICAID	NEW MEXICO
2	246RP19000X-PHEBOTOM	MEDICAID	NEW MEXICO
3	291U00000X	MEDICAID	NEW MEXICO
4	311ZA0620X	MEDICAID	NEW MEXICO
5	1144592304	MEDICAID	NEW MEXICO
6	251E00000X	MEDICAID	NEW MEXICO

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: 11/14/2023

NPI Synchronization or Removal

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