El Paso Pathology Laboratory LP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EL PASO PATHOLOGY LABORATORY LP

Doing business as

PathLab Las Cruces

Practice address

4351 E Lohman Ave
#409
Las Cruces, NM 88011-8259

Phone

(505) 521-4819

Fax

(505) 556-6709

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Richard D Fernandez, MD

Title

Medcial Director

Phone

(505) 521-4819

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• PathLab Las Cruces Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366511610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE",
            "address_2": "#409",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118259",
            "telephone_number": "505-521-4819",
            "fax_number": "505-556-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE",
            "address_2": "#409",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118259",
            "telephone_number": "505-521-4819",
            "fax_number": "505-556-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO PATHOLOGY LABORATORY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDCIAL DIRECTOR",
        "authorized_official_telephone_number": "505-521-4819",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77323815",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TE",
            "identifier": "CL5126",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1677932",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PathLab Las Cruces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• El Paso Hearing Aid Center Inc (Las Cruces Hearing Center)
• El Paso Pulmonary Association
• El Paso Vamc
• Elba Daniel Counseling, LLC
• Electronic Caregiver Inc.
• Electronic Caregiver Inc.

• Clinical Medical Laboratory in Las Cruces, NM
• Providers in Las Cruces, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.