Jeremiah Lopez, LAB DIRECTOR

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2203712 Issued in TX

Practice address

12029 Greenveil Dr
El Paso, TX 79936-0388

Phone

(915) 246-2139

NPI assigned

Feb 1, 2021

Last updated

Feb 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JNL Mobile Enterprises LLC

  dba JNL Mobile Laboratories

  • Clinical Medical Laboratory
  • El Paso, TX
  • NPI 1124608401
  NPD Authorized official

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1023609112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12029 GREENVEIL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360388",
            "telephone_number": "915-246-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12029 GREENVEIL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360388",
            "telephone_number": "915-246-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JEREMIAH",
        "credential": "LAB DIRECTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2203712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Lopez, LCSW
• Jazmin Lopez
• Jeanette B. Lopez, MA; CCC-SLP
• Jennifer Fern Lopez, LPC
• Jennifer Lynn Lopez, PT
• Jesus Ramiro Lopez
• Joanna Lopez
• Joaquin Lopez, LPC
• Jorge M Lopez
• Jose Abraham Lopez, M.D.

• 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 Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.