Clinical Testing Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

32D1086620 Issued in NM

Legal business name

CLINICAL TESTING LABORATORIES, INC.

Practice address

3655 Research Dr
Msc3Arp, Box 30001
Las Cruces, NM 88003-1239

Phone

(575) 646-3465

Fax

(575) 646-6060

NPI assigned

Jan 12, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Stefan Alfred Long, CORP AGENT OF RECORD

Title

Quality Manager

Phone

(575) 646-3465

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1609106756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 RESEARCH DR",
            "address_2": "MSC3ARP, BOX 30001",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880031239",
            "telephone_number": "575-646-3465",
            "fax_number": "575-646-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 RESEARCH DR",
            "address_2": "MSC3ARP, BOX 30001",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880031239",
            "telephone_number": "575-646-3465",
            "fax_number": "575-646-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL TESTING LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "QUALITY MANAGER",
        "authorized_official_telephone_number": "575-646-3465",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CORP AGENT OF RECORD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": "32D1086620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Las Cruces, NM by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.