Active NPI
Duke City Vascular Lab Inc
- Clinical Medical Laboratory
- Albuquerque, NM
National Provider Identifier
1669545257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H1415 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Albuquerque, NM
- NPI 1093888604
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
- Duke City Recovery Toolbox LLC
- Duke City Recovery Toolbox LLC
- Duke City Recovery Toolbox LLC
- Duke City Therapy LLC
- Duke City Urgent Care
- Laurie Moreland Dula, ARNP
- Dulcesalado Consultation and Therapeutic Services LLC
- Loyce Cathrine Dulin, LMT,MMP
- Celine Anne Valere Abrico Dumael
- Kristina Nikolaevna Dumas, PH.D.
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.