Active NPI
Recovery Services of New Mexico, LLC
Doing business as BayMark Health Laboratory Services
- Clinical Medical Laboratory
- Albuquerque, NM
National Provider Identifier
1225424567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLIA 32D2076684
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25392 | Other | NM | COLA |
| 32D2076684 | Other | NM | CLIA |
| 677558 | Other | NM | MEDICAID |
Other names 1
- BayMark Health Laboratory Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200922002521 | NM | Part B Supplier - Independent Clinical Laboratory | 1951665496 | Practice locations: Albuquerque, NM |
National Provider Directory
National Provider DirectoryLocations
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
- Recovery Based Solutions, LLC
- Recovery Connections, LLC
- Recovery House LLC
- Recovery Resources LTD.
- Recovery Services of New Mexico MDC, LLC (MedMark Treatment Centers NM MDC)
- Recovery Services of New Mexico, LLC (MedMark Treatment Centers Isleta)
- Recovery Services of New Mexico, LLC (MedMark Treatment Centers Five Points)
- Recovery Services of Southern New Mexico LLC
- Red Lotus Counseling
- Red Lotus Counseling
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.