Active NPI
Lovelace Health Systems,Inc.Dba S.E.D. Medical Laboratories
- Clinical Medical Laboratory
- Albuquerque, NM
National Provider Identifier
1861692345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LOVELACE HEALTH SYSTEMS,INC.DBA S.E.D. MEDICAL LABORATORIES
- Practice address
- 601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619 - Phone
- (505) 727-6425
- Fax
- (505) 727-6417
- NPI assigned
- Jul 23, 2007
- 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
- Mrs. Schelley Jo Carlton
- Title
- Billing Manager
- Phone
- (505) 727-6210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NM | Primary |
Addresses
Primary practice location
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Mailing address
5601 Office Blvd NE
Albuquerque, NM 87109-5879
Phone (505) 727-6210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52506 | Medicaid | NM |
Other names 1
- S.E.D. Medical Laboratories
National Provider Directory
National Provider DirectoryLocations
5601 Office Blvd NE
Albuquerque, NM 87109
Phone (505) 449-3294
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": "1861692345",
"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": "601 DR MARTIN LUTHER KING JR AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023619",
"telephone_number": "505-727-6425",
"fax_number": "505-727-6417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVELACE HEALTH SYSTEMS,INC.DBA S.E.D. MEDICAL LABORATORIES",
"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
- Lovelace Health Systems Inc
- Lovelace Health Systems Inc
- Lovelace Health Systems Inc
- Lovelace Health Systems LLC
- Lovelace Health Systems LLC
- Lovelace Healthcare Center-Academy
- Lovelace Healthcare Center-Carlisle
- Lovelace Healthcare Center-Coors
- Lovelace Healthcare Center-Gibson
- Lovelace Healthcare Center-High Desert
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.