Organization Active NPI

Clinical Laboratory Associates of El Paso LLC

Doing business as Clinical Laboratory Associates

  • Clinical Medical Laboratory
  • El Paso, TX
National Provider Identifier
1073096178
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CLINICAL LABORATORY ASSOCIATES OF EL PASO LLC
Doing business as
Clinical Laboratory Associates
Practice address
11140 La Quinta PL Ste 101B
El Paso, TX 79936-5227
Phone
(915) 262-4300
Fax
(915) 262-0253
NPI assigned
Sep 13, 2018
Last updated
Sep 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Lazarus W. Gutierrez, MLT
Title
Chief Operating Officer
Phone
(915) 262-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

11140 La Quinta PL Ste 101B
El Paso, TX 79936-5227

Mailing address

11140 La Quinta PL Ste 101B
El Paso, TX 79936-5227
Phone (915) 262-4300

Other names 1

  • Clinical Laboratory Associates Doing business as

National Provider Directory

National Provider Directory

Locations

11140 La Quinta Pl
Ste 101B
El Paso, TX 79936
Phone (915) 262-4300

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1073096178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 LA QUINTA PL STE 101B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365227",
            "telephone_number": "915-262-4300",
            "fax_number": "915-262-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 LA QUINTA PL STE 101B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365227",
            "telephone_number": "915-262-4300",
            "fax_number": "915-262-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL LABORATORY ASSOCIATES OF EL PASO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "LAZARUS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "915-262-4300",
        "authorized_official_credential": "MLT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Laboratory Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.