Alethea Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

32D2021850 Issued in NM

Legal business name

ALETHEA LABORATORIES INC

Practice address

410 E. Foster Road
Las Cruces, NM 88005-3209

Phone

(575) 267-6441

Fax

(575) 267-2320

NPI assigned

May 25, 2011

Last updated

May 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sri Bharat Madireddy, PH.D.

Title

Ceo

Phone

(561) 249-4317

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1821381773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E. FOSTER ROAD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053209",
            "telephone_number": "575-267-6441",
            "fax_number": "575-267-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E. FOSTER ROAD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053209",
            "telephone_number": "575-267-6441",
            "fax_number": "575-267-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALETHEA LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "MADIREDDY",
        "authorized_official_first_name": "SRI",
        "authorized_official_middle_name": "BHARAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-249-4317",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": "32D2021850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LABORATORY LICENSE",
            "identifier": "800027351",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "32D2021850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "COB5169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda G Alderete-Aragon, PMHNP
• Chelsea Danae Alderette
• Ahmad Abdel Karim Ahmad Aldurgham
• Aldv, LLC
• Aleracare of New Mexico Inc
• Alegra T Alexander, RPH
• Harold E Alexander Jr., M.D.
• Herlinda Alexander
• Joe B Alexander, PHD
• Morgan R Alexander, CNM

• Clinical Medical Laboratory in Las Cruces, NM
• Providers in Las Cruces, 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 May 16, 2016; 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.