Clinical Physicians Pathology Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLINICAL PHYSICIANS PATHOLOGY LAB

Practice address

1416 George Dieter Dr
El Paso, TX 79936-7601

Phone

(915) 849-5141

Fax

(915) 849-4764

NPI assigned

Aug 1, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lazarus Wilcot Gutierrez

Title

Ceo/President

Phone

(915) 532-9800

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1023364650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 MURCHISON DR # 124",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023032",
            "telephone_number": "915-532-9800",
            "fax_number": "915-532-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367601",
            "telephone_number": "915-849-5141",
            "fax_number": "915-849-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PHYSICIANS PATHOLOGY LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "LAZARUS",
        "authorized_official_middle_name": "WILCOT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "915-532-9800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Yvonne Cleveland, DMD
• Jerica Ezperanza Click
• Joanne Clifford, COTA
• Chloe Clifton
• Clinical Laboratory Associates of El Paso LLC
• Clint Independent School District
• Doris A Clippard, APN
• Cloudview Home Health Agency, Inc.
• Cloudview Hospice LLC
• Perla Patricia Clouse

• Clinical Medical Laboratory in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.