Tricore Reference Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRICORE REFERENCE LABORATORIES

Practice address

1001 Woodward PL NE
Albuquerque, NM 87102-2705

Phone

(505) 938-8888

Fax

(505) 938-8833

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Crossey, MD

Title

Ceo

Phone

(505) 938-8888

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Terrell Felts, M.D.

  • Surgery Physician
  • Las Cruces, NM
  • NPI 1366406639
  NPD (past)
• Fermin Miguel Fontan, M.D.

  • Surgery Physician
  • Las Cruces, NM
  • NPI 1902148885
  NPD (past)
• Brandon Thomas Gehris, MD

  • Student in an Organized Health Care Education/Training Program
  • Albuquerque, NM
  • NPI 1811562069
  NPD (past)
• Andrew Horvath, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Albuquerque, NM
  • NPI 1568466464
  NPD (past)
• Amal Shine, MD

  • Gastroenterology Physician
  • Albuquerque, NM
  • NPI 1043744329
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1033285044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WOODWARD PL NE",
            "address_2": "ATTENTION: BUSINESS OFFICE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022705",
            "telephone_number": "505-938-8888",
            "fax_number": "505-938-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WOODWARD PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022705",
            "telephone_number": "505-938-8888",
            "fax_number": "505-938-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICORE REFERENCE LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "CROSSEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-938-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004388300",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191050000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806981000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98003643",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119530100",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200049370A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073041801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000L0628",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "627375",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "690008077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri Peak Behavioral Health LLC
• Hillary Sue Triana, FNP
• Tribal Audiology
• Mary Trice
• Tricore Inc.
• Trifecta Light Center LLC
• Bruce Trigg, MD
• Paulina Trillo- Zamarripa
• Tracey Trimble, LMSW, LCSW
• Hai Trinh

• Clinical Medical Laboratory in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Medical Laboratory in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.