Active NPI
Ron Smock
- Clinical Medical Laboratory
- Albuquerque, NM
National Provider Identifier
1407411762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 32D-0000011
- Practice address
- 4213 Montgomery Blvd NE
Albuquerque, NM 87109-1103 - Phone
- (505) 255-1090
- Fax
- (595) 345-5799
- NPI assigned
- May 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 32D-0000011 | NM | Primary |
Addresses
Primary practice location
4213 Montgomery Blvd NE
Albuquerque, NM 87109-1103
Mailing address
PO Box 95708
Albuquerque, NM 87199-5708
Phone (505) 362-8039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32D-0000011 | NM | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Drug Testing and Forensic Services | Clinical Medical Laboratory | Current | Accepting new patients |
| Ro Smock & Associates LLC | Clinical Medical Laboratory | Past | Accepting new patients |
Locations
4213 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (281) 645-0292
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Albuquerque, NM
- NPI 1649804436
-
dba Atlantic Labs llc
- Clinical Medical Laboratory
- Addison, TX
- NPI 1174189849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1407411762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95708",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871995708",
"telephone_number": "505-362-8039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4213 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091103",
"telephone_number": "505-255-1090",
"fax_number": "595-345-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOCK",
"first_name": "RON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NM",
"license": "32D-0000011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Smiths Food & Drug Centers Inc (Smiths Pharmacy #450)
- Smiths Food & Drug Centers Inc (Smiths Pharmacy #427)
- Smiths Food & Drug Centers Inc (Smiths Pharmacy #423)
- Smiths Food & Drug Centers Inc (Smiths Pharmacy #446)
- Smiths Pharmacy
- Linda Ann Smoker, MD
- Mikal Ann Smoker, PA-C
- Smooth Qi, LLC (Smooth Qi Acupuncture)
- Laura Jean Snapp, M.A.
- Lynette Snead
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.