Organization Active NPI

Medico Clinical Laboratories

  • Clinical Medical Laboratory
  • El Paso, TX
National Provider Identifier
1831235795
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDICO CLINICAL LABORATORIES
Practice address
4900 Alameda Ave
Suite E
El Paso, TX 79905-2832
Phone
(915) 772-1768
Fax
(915) 772-1768
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mr. Leticia S. Reyna, M.T. ASCP
Title
Laboratory Manager
Phone
(915) 772-1768

Specialties & licenses 1

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

Addresses

Primary practice location

4900 Alameda Ave
Suite E
El Paso, TX 79905-2832

Mailing address

4900 Alameda Ave
Suite E
El Paso, TX 79905-2832
Phone (915) 772-1768

Other names 1

  • Medico Cloinical Laboratories Inc. Other name

National Provider Directory

National Provider Directory

Locations

4900 Alameda Ave
Ste E
El Paso, TX 79905
Phone (915) 772-1768

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1831235795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 ALAMEDA AVE",
            "address_2": "SUITE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052832",
            "telephone_number": "915-772-1768",
            "fax_number": "915-772-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 ALAMEDA AVE",
            "address_2": "SUITE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052832",
            "telephone_number": "915-772-1768",
            "fax_number": "915-772-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICO CLINICAL LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "LABORATORY MANAGER",
        "authorized_official_telephone_number": "915-772-1768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.T. ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medico Cloinical Laboratories Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.