Active NPI
Southwest Labs LLC
- Clinical Medical Laboratory
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SOUTHWEST LABS LLC
- Practice address
- 4261 Balloon Park Rd NE
Albuquerque, NM 87109-5802 - Phone
- (505) 433-3985
- NPI assigned
- Dec 2, 2015
- Last updated
- Jun 15, 2026
- 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
- Dr. Evan D Baldwin, MD
- Title
- Partner / Medical Director
- Phone
- (505) 433-3985
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
4261 Balloon Park Rd NE
Albuquerque, NM 87109-5802
Mailing address
4261 Balloon Park Rd NE
Albuquerque, NM 87109-5802
Other practice location 1
4343 Pan American Fwy NE Ste 238
Albuquerque, NM 87107-6834
Phone (505) 609-5227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61330086 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160628001489 | NM | Part B Supplier - Independent Clinical Laboratory | 2961793658 | Practice locations: Albuquerque, NM |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2110679 | Southwest Labs, LLC | Accreditation | Dec 6, 2026 |
| 32D2339883 | Southwest Labs LLC | Registration | Mar 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
4261 Balloon Park Rd NE
Albuquerque, NM 87109
Phone (505) 433-3985
4500 Osuna Rd NE
Ste 130
Albuquerque, NM 87109
Phone (505) 565-5282
5659 Jefferson St NE
Ste D
Albuquerque, NM 87109
Phone (505) 433-3985
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction Medicine (Family Medicine) Physician
- Albuquerque, NM
- NPI 1730470113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1780059717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4261 BALLOON PARK RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4261 BALLOON PARK RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095802",
"telephone_number": "505-433-3985"
}
],
"practiceLocations": [
{
"address_1": "4343 Pan American Fwy NE Ste 238",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871076834",
"country_code": "US",
"telephone_number": "505-609-5227",
"fax_number": "505-508-5512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOUTHWEST LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-02",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "EVAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PARTNER / MEDICAL DIRECTOR",
"authorized_official_telephone_number": "505-433-3985",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61330086",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Southwest Horse Power, Inc
- Southwest Integrative Health Center, LLC
- Southwest Internists, LLC
- Southwest Interventional Pain Specialists, PC
- Southwest Kidney Care, LLC
- Southwest Lift Installation, LLC.
- Southwest Medical Associates, LLC (Lovelace Medical Group)
- Southwest Medical Massage LLC
- Southwest Myotherapy
- Southwest Neuropsychology & Behavioral Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.