TRICORE REFERENCE LABORATORIES (NPI# 1033285044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033285044 |
| Entity Type | Organization |
| Organization Name | TRICORE REFERENCE LABORATORIES |
| Practice Address |
1001 Woodward Pl Ne Albuquerque NM 87102-2705 |
| Mailing Address |
1001 Woodward Pl Ne Attention: Business Office Albuquerque NM 87102-2705 |
| Practice Telephone | 5059388888 |
| Practice Fax Number | 5059388833 |
| Mailing Telephone | 5059388888 |
| Mailing Fax Number | 5059388833 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | DR. MICHAEL CROSSEY (CEO) |
| Authorized Official Telephone | 5059388888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000L0628 | 05 | |
| OK | 200049370A | 05 | |
| AZ | 627375 | 05 | |
| NV | 004388300 | 05 | |
| TX | 073041801 | 05 | |
| WY | 119530100 | 05 | |
| RAILROAD MEDICARE | 690008077 | 01 | |
| CO | 98003643 | 05 | |
| ID | 806981000 | 05 | |
| ME | 191050000 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRICORE REFERENCE LABORATORIES | 1001 Woodward Pl Ne, Albuquerque, NM 87102-2705 |
| Colorado Business Entities | TriCore Reference Laboratories | 1001 Woodward Place, Albuquerque, NM 87102 |
| Washington State Corporations | TRICORE REFERENCE LABORATORIES | 1001 Woodward Pl Ne, Albuquerque, NM 87102 |
| Oklahoma Business Registrations | TRICORE REFERENCE LABORATORIES | 1001 Woodwad Place Ne, Albuquerque, NM 87102 |
| Street Address |
1001 WOODWARD PL NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437165123 | Mary K Foucar | Pathology | 1001 Woodward Pl Ne, Albuquerque, NM 87102-2705 | 2006-08-01 |
| 1629598222 | Aya Haghamad | Pharmacist | 1001 Woodward Pl Ne, Albuquerque, NM 87102-2705 | 2017-06-23 |
| 1336681915 | Adel Abdallah | Student in an Organized Health Care Education/Training Program | 1001 Woodward Pl Ne, Albuquerque, NM 87102-2705 | 2016-11-14 |
| 1861765919 | Frederick Elder | Pathology | 1001 Woodward Pl Ne, Albuquerque, NM 87102-2705 | 2012-02-21 |
| 1053500272 | Barbara Jean Masten | Pathology | 1001 Woodward Pl Ne, Albuquerque, NM 87102-2705 | 2007-10-24 |
| 1104020635 | Shelly Ann Stepenaskie | Dermatology | 1001 Woodward Pl Ne, Albuquerque, NM 87102-2705 | 2007-06-11 |
| 1750506812 | David Rodriguez Czuchlewski | Pathology | 1001 Woodward Pl Ne, Albuquerque, NM 87102-2705 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727088 | Disabled Veterans Reference Labs Inc | Clinical Medical Laboratory | 5400 Gibson Blvd Se Ste 20, Albuquerque, NM 87108-5182 | 2020-07-06 |
| 1407411762 | Ron Smock | Clinical Medical Laboratory | 4213 Montgomery Blvd Ne, Albuquerque, NM 87109-1103 | 2019-05-02 |
| 1780059717 | Southwest Labs LLC | Clinical Medical Laboratory | 4261 Balloon Park Rd Ne, Albuquerque, NM 87109-5802 | 2015-12-02 |
| 1225424567 | Recovery Services of New Mexico | Clinical Medical Laboratory | 5659 Jefferson St Ne, Suite E, Albuquerque, NM 87109-3458 | 2015-04-14 |
| 1255725339 | Ann Owens Tafoya | Clinical Medical Laboratory | 1301 Kentucky St Se, Albuquerque, NM 87108-5108 | 2015-03-26 |
| 1740615855 | Elizabeth Amanda Stenger | Clinical Medical Laboratory | 10444 Calle Avila Nw, Albuquerque, NM 87114-1804 | 2013-09-08 |
| 1851544365 | Exagen Diagnostics, Inc. | Clinical Medical Laboratory | 801 University Blvd Se, Suite 103, Albuquerque, NM 87106-4344 | 2008-10-28 |
| 1114187838 | Academy of Trades and Technology Sbhc | Clinical Medical Laboratory | 1718 Yale Blvd Se, Albuquerque, NM 87106-4136 | 2008-06-16 |
| 1013190610 | Robert F. Kennedy Charter High School | Clinical Medical Laboratory | 4300 Blake Sw, Albuquerque, NM 87121 | 2007-12-06 |
| 1730388281 | Newport Pathology | Clinical Medical Laboratory | 6001 Indian School Rd Ne, Suite 350, Albuquerque, NM 87110-4182 | 2007-07-15 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.