Active NPI
Pathology Associates, PA
- Clinical Medical Laboratory
- Las Cruces, NM
National Provider Identifier
1265468698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- NM7982
- Legal business name
- PATHOLOGY ASSOCIATES, PA
- Practice address
- 2450 S Telshor Blvd
Las Cruces, NM 88011-5069 - Phone
- (505) 521-2203
- Fax
- (505) 521-5558
- NPI assigned
- Jun 25, 2006
- 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
- Dr. Robert L Lopez, M.D.
- Title
- Pathologist
- Phone
- (505) 521-2203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NM7982 | NM | Primary |
Addresses
Primary practice location
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Mailing address
205 W Boutz Rd BLDG 1
Las Cruces, NM 88005-3259
Phone (575) 532-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1D191 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517270400000",
"number": "1265468698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W BOUTZ RD BLDG 1",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053259",
"telephone_number": "575-532-7000",
"fax_number": "575-532-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115069",
"telephone_number": "505-521-2203",
"fax_number": "505-521-5558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHOLOGY ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2018-01-30",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PATHOLOGIST",
"authorized_official_telephone_number": "505-521-2203",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NM",
"license": "NM7982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1D191",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.