Active NPI
Ray Morris Joe
- Medical Laboratory Technician
- Dulce, NM
National Provider Identifier
1134419518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Laboratory Technician
- Practice address
- 500 North Mundo Road
Dulce, NM 87528 - Phone
- (575) 759-7309
- NPI assigned
- Apr 19, 2011
- Last updated
- Apr 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | Primary |
Addresses
Primary practice location
500 North Mundo Road
Dulce, NM 87528
Mailing address
PO Box 187
Dulce, NM 87528-0187
Phone (575) 759-7309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1134419518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "DULCE",
"state": "NM",
"postal_code": "875280187",
"telephone_number": "575-759-7309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NORTH MUNDO ROAD",
"city": "DULCE",
"state": "NM",
"postal_code": "87528",
"telephone_number": "575-759-7309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOE",
"first_name": "RAY",
"middle_name": "MORRIS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dulce, NM
- Jicarilla Apache Nation (Jicarilla Behavioral Health)
- Jicarilla Apache Nation (Jicarilla Apache Nation Dialysis Treatment Center)
- Jicarilla EMS
- Jicarilla Health Care Facility
- Jicarilla IHS Pharmacy (Dulce IHS Pharmacy)
- Joan E Kandel, DO
- Karen Keating, M.ED., LPCC, LADAC
- Michael Shawn Kennedy, SCHOOL PSYCHOLOGIST
- Valerie F Long, RN
- Daniel Joseph Lotz, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.