Elizabeth Amanda Stenger, MT, (ASCP)CM

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

04136035 Issued in NM

Practice address

10444 Calle Avila NW
Albuquerque, NM 87114-1804

Phone

(505) 610-0490

NPI assigned

Sep 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Elizabeth Amanda Gurrola Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378598400000",
    "number": "1740615855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10444 CALLE AVILA NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141804",
            "telephone_number": "505-610-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10444 CALLE AVILA NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141804",
            "telephone_number": "505-610-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGER",
        "first_name": "ELIZABETH",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MT, (ASCP)CM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-08",
        "last_updated": "2013-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": "04136035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS ADMINSTRATION",
            "identifier": "576217764",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GURROLA",
            "middle_name": "AMANDA",
            "prefix": "MISS",
            "credential": "MT, (ASCP)CM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jheri Stelzer
• Sherry Stelzer, LPN
• Alex B. Stelzner, M.D.
• Alaina Noel Stenberg
• Joseph Stenberg, DO
• Step Ahead ABA NM LLC
• Charles Stepback, CPSW
• Shelly Ann Stepenaskie, MD
• Jamie Stepetic
• Stephanie Harad LLC

• Clinical Medical Laboratory in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Medical Laboratory in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2013; 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.