Organization Active NPI

Recovery Services of New Mexico, LLC

Doing business as BayMark Health Laboratory Services

  • Clinical Medical Laboratory
  • Albuquerque, NM
National Provider Identifier
1225424567
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLIA 32D2076684 Issued in NM
Legal business name
RECOVERY SERVICES OF NEW MEXICO, LLC
Doing business as
BayMark Health Laboratory Services
Practice address
5659 Jefferson St NE
Suite E
Albuquerque, NM 87109-3458
Phone
(505) 242-6919
NPI assigned
Apr 14, 2015
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Bruce Jarvie
Title
VP, Treasurer
Phone
(214) 379-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLIA 32D2076684 NM Primary

Addresses

Primary practice location

5659 Jefferson St NE
Suite E
Albuquerque, NM 87109-3458

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (214) 379-3300

Other identifiers 3

IdentifierTypeStateIssuer
25392OtherNMCOLA
32D2076684OtherNMCLIA
677558OtherNMMEDICAID

Other names 1

  • BayMark Health Laboratory Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200922002521 NM Part B Supplier - Independent Clinical Laboratory 1951665496 Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

5659 Jefferson St NE
Ste E
Albuquerque, NM 87109
Phone (505) 242-6919

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1225424567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "214-379-3300",
            "fax_number": "214-853-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 JEFFERSON ST NE",
            "address_2": "SUITE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093458",
            "telephone_number": "505-242-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY SERVICES OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": "CLIA 32D2076684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "25392",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "32D2076684",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "677558",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BayMark Health Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.