Organization Active NPI

Lovelace Westside Hospital

  • Clinical Medical Laboratory
  • Albuquerque, NM
National Provider Identifier
1780884270
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LOVELACE WESTSIDE HOSPITAL
Doing business as
S.E.D. Medical Laboratories
Practice address
10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone
(505) 727-2070
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Mrs. Schelley Jo Carlton
Title
Billing Manager
Phone
(505) 727-6210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NM Primary

Addresses

Primary practice location

10501 Golf Course Rd NW
Albuquerque, NM 87114-5019

Mailing address

5601 Office Blvd NE
Albuquerque, NM 87109-5879
Phone (505) 727-6210

Other identifiers 1

IdentifierTypeStateIssuer
52506MedicaidNM

Other names 1

  • S.E.D. Medical Laboratories Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0534751Lovelace Westside Hospital10501 Golf Course Rd NW, Albuquerque, NM 87114AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1780884270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 OFFICE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095879",
            "telephone_number": "505-727-6210",
            "fax_number": "505-727-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 GOLF COURSE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145019",
            "telephone_number": "505-727-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELACE WESTSIDE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "SCHELLEY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "505-727-6210",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52506",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.E.D. Medical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.