Organization Active NPI

Duke City Vascular Lab Inc

  • Clinical Medical Laboratory
  • Albuquerque, NM
National Provider Identifier
1669545257
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DUKE CITY VASCULAR LAB INC
Practice address
717 Encino PL NE Ste 19
Albuquerque, NM 87102-2623
Phone
(505) 247-1744
Fax
(505) 247-0797
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Mr. Edward L Lobato
Title
Manager
Phone
(505) 884-1214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

717 Encino PL NE Ste 19
Albuquerque, NM 87102-2623

Mailing address

PO Box 35310
Albuquerque, NM 87176-5310
Phone (505) 247-1744

Other identifiers 1

IdentifierTypeStateIssuer
H1415MedicaidNM

National Provider Directory

National Provider Directory

Locations

717 Encino Pl NE
Ste 3
Albuquerque, NM 87102
Phone (505) 247-1744

717 Encino Pl NE
Ste 19
Albuquerque, NM 87102
Phone (505) 247-1744

Practitioners & affiliated clinicians

Practitioners 1

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1669545257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35310",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871765310",
            "telephone_number": "505-247-1744",
            "fax_number": "505-247-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE STE 19",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022623",
            "telephone_number": "505-247-1744",
            "fax_number": "505-247-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE CITY VASCULAR LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "LOBATO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-884-1214",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H1415",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.