Epmed, PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EPMED, PA

Doing business as

Presidio Laboratories

Practice address

3215 Gateway Blvd W
Suite C
El Paso, TX 79903-4225

Phone

(915) 526-7880

Fax

(915) 317-1951

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Eduardo Genaro Vazquez, MD

Title

Ceo

Phone

(915) 598-7246

Specialties & licenses 1

Addresses

Other names 1

• Presidio Laboratories Doing business as

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1609262302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-526-7880",
            "fax_number": "915-317-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-526-7880",
            "fax_number": "915-317-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPMED, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "GENARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-598-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presidio Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Presidio Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.