VANGAURD GENETICS, LLC


Address: 3655 Research Drive, Msc3arp, Genesis-b, Las Cruces, NM 88003
Phone: 5754896688

VANGAURD GENETICS, LLC (NPI# 1093337586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093337586
Entity Type Organization
Organization Name VANGAURD GENETICS, LLC
Practice Address 3655 Research Drive
Msc3arp, Genesis-b
Las Cruces
NM 88003
Practice Telephone 5754896688
Mailing Telephone 5754896688
Enumeration Date 2020-05-07
Last Update Date 2020-05-07
Authorized Official Name MR. STEFAN ALFRED LONG (LABORATORY DIRECTOR)
Authorized Official Telephone 9156370087
Authorized Official Credential BS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
NM CLIA 32D2182725 01

Office Location

Street Address 3655 RESEARCH DRIVE
MSC3ARP, GENESIS-B
City LAS CRUCES
State NM
Zip Code 88003

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

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Competitor

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City LAS CRUCES
Zip Code 88003

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Dataset Information

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.

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