Presidio Laboratories Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRESIDIO LABORATORIES CORP

Practice address

3215 Gateway Blvd W
Suite C
El Paso, TX 79903-4225

Phone

(915) 526-7880

NPI assigned

Apr 4, 2016

Organization subpart

Yes

Parent organization

EL PASO PAIN CENTER, PAAs reported in NPPES

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

Authorized official

Name

Holly B Vazquez

Title

Practice Administrator

Phone

(915) 526-7880

Specialties & licenses 1

Addresses

Part of

El Paso Pain Center PA

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Epmed, PA

  dba El Paso Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • El Paso, TX
  • NPI 1285861773

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIDHAA

Practitioners 1

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

• Eduardo Genaro Vazquez, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • El Paso, TX
  • NPI 1225283211
  NPD

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1104289438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-526-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-526-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDIO LABORATORIES CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL PASO PAIN CENTER, PA",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "915-526-7880"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Traci Celeste Presley, LPC
• Prestige Diagnostic Imaging
• Prestige Diagnostic Imaging LLC
• Sarah Alexis Pretiger
• Pretty in Pink Boutique, Inc. (Pretty In Pink Mastectomy Boutique)

• 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 Apr 4, 2016; 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.