Vangaurd Genetics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VANGAURD GENETICS, LLC

Practice address

3655 Research Drive
Msc3Arp, Genesis-B
Las Cruces, NM 88003

Phone

(575) 489-6688

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Stefan Alfred Long, BS

Title

Laboratory Director

Phone

(915) 637-0087

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1093337586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 RESEARCH DRIVE",
            "address_2": "MSC3ARP, GENESIS-B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88003",
            "telephone_number": "575-489-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 RESEARCH DRIVE",
            "address_2": "MSC3ARP, GENESIS-B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88003",
            "telephone_number": "575-489-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGAURD GENETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "915-637-0087",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "32D2182725",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Server",
            "affiliation": "N",
            "endpointDescription": "Secure FTP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3655 Research Drive",
            "address_2": "MSC3ARP, Genesis-B",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "88003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christene Vancott, CNM CFNP
• Scott G Vandawalker, NP
• Joshua Rex Vanderhoof
• Jessica Vanderpoorten
• Shannon Vane, MSN, RN, FNP-C, CPN
• Juanita Vanore
• Harriet Luckett Vanwyngarden, LPCC, LMSW
• Catherine Vanzandt
• Samantha Varela
• Yandry Varela, DO

• Clinical Medical Laboratory in Las Cruces, NM
• Providers in Las Cruces, 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 May 7, 2020; 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.