Organization Active NPI

Alameda Laboratory Services, LLC

  • Clinical Medical Laboratory
  • El Paso, TX
National Provider Identifier
1265829279
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
32056766846 Issued in TX
Legal business name
ALAMEDA LABORATORY SERVICES, LLC
Practice address
4900 Alameda Ave Ste E
El Paso, TX 79905-2832
Phone
(915) 270-9998
Fax
(915) 270-9997
NPI assigned
Apr 17, 2015
Last updated
Dec 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Mr. Luis C Prieto Sr.
Title
President
Phone
(915) 849-7759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 32056766846 TX Primary

Addresses

Primary practice location

4900 Alameda Ave Ste E
El Paso, TX 79905-2832

Mailing address

4900 Alameda Ave Ste E
El Paso, TX 79905-2832
Phone (915) 270-9998

Other identifiers 2

IdentifierTypeStateIssuer
349500401MedicaidTX
426169OtherTXMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1265829279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 ALAMEDA AVE STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052832",
            "telephone_number": "915-270-9998",
            "fax_number": "915-270-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 ALAMEDA AVE STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052832",
            "telephone_number": "915-270-9998",
            "fax_number": "915-270-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-849-7759",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "32056766846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349500401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "426169",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.