Lovelace Health Systems Inc. Dba S.E.D. Medical Laboratories-Farmingto

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

32D1104327 Issued in NM

Legal business name

LOVELACE HEALTH SYSTEMS INC. DBA S.E.D. MEDICAL LABORATORIES-FARMINGTO

Practice address

724 W Animas St
Farmington, NM 87401-5617

Phone

(505) 327-3637

NPI assigned

Sep 8, 2009

Last updated

Sep 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Martin

Title

Director Quality Assurance

Phone

(505) 727-6209

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• S.E.D. MEDICAL LABORATORIES-FARMINGTON Other name

Locations

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1184957391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W ANIMAS ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015616",
            "telephone_number": "505-327-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W ANIMAS ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015617",
            "telephone_number": "505-327-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELACE HEALTH SYSTEMS INC. DBA S.E.D. MEDICAL LABORATORIES-FARMINGTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR QUALITY ASSURANCE",
        "authorized_official_telephone_number": "505-727-6209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": "32D1104327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "32D1104327",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.E.D. MEDICAL LABORATORIES-FARMINGTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Farmington, NM
• Providers in Farmington, 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 Sep 8, 2009; 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.