Organization Active NPI

Q Med Laboratory, LLC

  • Clinical Medical Laboratory
  • El Paso, TX
National Provider Identifier
1386817435
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D1081814 Issued in TX
Legal business name
Q MED LABORATORY, LLC
Practice address
11355 Montwood Dr
Suite E
El Paso, TX 79936-3876
Phone
(915) 855-2454
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Susana I Oman
Title
President
Phone
(915) 855-2454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D1081814 TX Primary

Addresses

Primary practice location

11355 Montwood Dr
Suite E
El Paso, TX 79936-3876

Mailing address

11355 Montwood Dr Ste E
El Paso, TX 79936-3883
Phone (915) 855-2454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090126000252 TX Part B Supplier - Independent Clinical Laboratory 5698839330 Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1081814Q Med Laboratory LLC11355 Montwood Suite E, El Paso, TX 79936ComplianceJan 26, 2028

National Provider Directory

National Provider Directory

Locations

11355 Montwood Dr
Ste E
El Paso, TX 79936
Phone (915) 855-2454

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1386817435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11355 MONTWOOD DR STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363883",
            "telephone_number": "915-855-2454",
            "fax_number": "915-857-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11355 MONTWOOD DR",
            "address_2": "SUITE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363876",
            "telephone_number": "915-855-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q MED LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "OMAN",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-855-2454"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1081814",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.