MEDERI LIFE LLC NPI 1649834904

NPI Information

MEDERI LIFE LLC is a family medicine in Albuquerque, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDERI LIFE LLC NPI is 1649834904. The provider is registered as an organization entity type.

The provider's business location address is:

6200 COORS BLVD NW STE A8
ALBUQUERQUE, NM
ZIP 87120-794
Phone: (505) 433-4007
Fax: (505) 433-4068

The provider's authorized official is Lisa Padilla .
The authorized official title is Manager and has the following contact phone number (505) 385-9060.

The CLIA number assigned to this NPI record is 32D2166141 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2019 and was last updated on 10/4/2021.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.