Andre Laboratory Inc

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

ANDRE LABORATORY INC

Practice address

1570 Lomaland
Suite C
El Paso, TX 79935

Phone

(915) 328-6318

Fax

(915) 857-0492

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Luis Andrade, RMT

Title

Laboratory Manager

Phone

(915) 328-6318

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093869489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 LOMALAND",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79935",
            "telephone_number": "915-328-6318",
            "fax_number": "915-857-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 LOMALAND",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79935",
            "telephone_number": "915-328-6318",
            "fax_number": "915-857-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "LABORATORY MANAGER",
        "authorized_official_telephone_number": "915-328-6318",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RMT"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1616120",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0000CL5123",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nilsa Grisel Andino, PT
• Wilfredo Andino, PTA
• Jose G Andrade-Barraza, MD
• Alonso Andrade, M.D.
• Mary Alice Andrade, NURSE PRACTITIONER
• Elizabeth Andreadakis, DNP, APRN
• Andres a. Flores M.D. PLLC.
• Andres S Enriquez MD PA
• Andrew P. Rosen, M.D.
• Jessica Lynn Andrews, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.