Active NPI
Mt. Medical Center and Rehab
- Clinical Medical Laboratory
- Albuquerque, NM
National Provider Identifier
1740192004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MT. MEDICAL CENTER AND REHAB
- Practice address
- 6211 4TH St NW Ste 1
Albuquerque, NM 87107-5700 - Phone
- (888) 983-5889
- Fax
- (888) 408-1009
- NPI assigned
- Sep 21, 2026
- Last updated
- Oct 1, 2026
- Organization subpart
- Yes
- Parent organization
- KHAMELEON INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Insley Evans Sr., CLS, MLS, MT, MLT
- Title
- Owner/Scientist
- Phone
- (503) 475-9662
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | NU | ||
| Lodging Provider | 177F00000X | NU | ||
| Case Management Agency | 251B00000X | NU | ||
| Public Health or Welfare Agency | 251K00000X | NU | ||
| Clinic/Center | 261Q00000X | NU | ||
| Community Health Clinic/Center | 261QC1500X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Clinical Medical Laboratory | 291U00000X | NU | Primary | |
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Holistic Clinical Nurse Specialist | 364SH1100X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Meals Provider | 174200000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | ||
| Health & Wellness Coach | 171400000X | NU |
Addresses
Primary practice location
6211 4TH St NW Ste 1
Albuquerque, NM 87107-5700
Mailing address
6211 4TH St NW Ste 1
Albuquerque, NM 87107-5700
Phone (888) 983-5889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1740192004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6211 4TH ST NW STE 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871075700",
"telephone_number": "888-983-5889",
"fax_number": "888-408-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6211 4TH ST NW STE 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871075700",
"telephone_number": "888-983-5889",
"fax_number": "888-408-1009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT. MEDICAL CENTER AND REHAB",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KHAMELEON INC.",
"enumeration_date": "2026-09-21",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "INSLEY",
"authorized_official_title_or_position": "OWNER/SCIENTIST",
"authorized_official_telephone_number": "503-475-9662",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "CLS, MLS, MT, MLT"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "364SH1100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Holistic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.