PRESIDIO LABORATORIES CORP (NPI# 1104289438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104289438 |
| Entity Type | Organization |
| Organization Name | PRESIDIO LABORATORIES CORP |
| Practice Address |
3215 Gateway Blvd W Suite C El Paso TX 79903-4225 |
| Practice Telephone | 9155267880 |
| Mailing Telephone | 9155267880 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | HOLLY B VAZQUEZ (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9155267880 |
| Is Organization Subpart | Y |
| Parent Organization Name | EL PASO PAIN CENTER, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
3215 GATEWAY BLVD W SUITE C |
| City | EL PASO |
| State | TX |
| Zip Code | 79903-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700896982 | David A Durussel | Physical Medicine & Rehabilitation | 3215 Gateway Blvd W, El Paso, TX 79903 | 2006-08-09 |
| 1376180877 | Mari C Padilla | Nurse Practitioner | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2019-12-03 |
| 1780157909 | Marie Claudine Aloeyi | Nurse Practitioner | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2019-01-10 |
| 1144797093 | Alma Gabriela Kelly | Nurse Practitioner | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2018-10-30 |
| 1801396890 | Norma Patricia Center | Nurse Practitioner | 3215 Gateway Blvd W, El Paso, TX 79903 | 2018-02-15 |
| 1376097642 | Katherine L Johnston | Registered Nurse | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2016-08-04 |
| 1598135931 | Celene Milagros Robles | Nurse Practitioner | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2015-09-28 |
| 1215318381 | Awnik Kumar Sarkar | Anesthesiology | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2015-06-15 |
| 1609262302 | Epmed, Pa | Clinical Medical Laboratory | 3215 Gateway Blvd W, Suite C, El Paso, TX 79903-4225 | 2015-04-09 |
| 1831599794 | Paolo Mimbella | Physical Medicine & Rehabilitation | 3215 Gateway Blvd W, El Paso, TX 79903 | 2014-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447757562 | Jacqueline J. Pantoja | Behavior Technician | 4100 Cumberland Ave, El Paso, TX 79903 | 2018-04-06 |
| 1891207718 | Luna Tierra Casa De Partos | Midwife | 4130 Hueco Ave., El Paso, TX 79903 | 2017-11-01 |
| 1275982415 | James Blanco I | Counselor | 6000 Welch #15, El Paso, TX 79903 | 2016-06-08 |
| 1902269426 | Mayra Gaona | Contractor | 3431 Pershing Dr. Ste D1, El Paso, TX 79903 | 2016-04-01 |
| 1164777918 | Silvia Elena Marrufo | Chiropractor | 2601 E Yandell Dr Ste 223, El Paso, TX 79903 | 2012-07-18 |
| 1992062335 | Claudia Marie Yagel | Occupational Therapist | 2429 Montanna Ave, #a, El Paso, TX 79903 | 2012-04-23 |
| 1801164199 | Kavita Bhakta | Pharmacist | 2879 Montana, El Paso, TX 79903 | 2011-12-01 |
| 1396032074 | Oscar Arteaga | Community/Behavioral Health | 4664 Caples Cir, El Paso, TX 79903 | 2011-07-01 |
| 1487977716 | William Beaumont Army Medical Center-army Substance Abuse Program | Social Worker | 1512 Mathias, El Paso, TX 79903 | 2010-03-01 |
| 1841434008 | Sun City Behavioral Health Care | Counselor | 2931 Montana Ave., Suite B, El Paso, TX 79903 | 2009-04-30 |
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| 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 |
|---|---|---|---|---|
| 1699374819 | Servants Approach Consulting LLC | Clinical Medical Laboratory | 3416 Blazon Gold Way, El Paso, TX 79936-0674 | 2020-10-19 |
| 1407494834 | Trugenedx, LLC | Clinical Medical Laboratory | 2311 N Oregon St Ste 509, El Paso, TX 79902-3216 | 2019-12-16 |
| 1114482510 | We Medical Labs LLC | Clinical Medical Laboratory | 2022 Murchison Dr Ste 116, El Paso, TX 79902-3058 | 2019-02-10 |
| 1073096178 | Clinical Laboratory Associates of El Paso LLC | Clinical Medical Laboratory | 11140 La Quinta Pl Ste 101b, El Paso, TX 79936-5227 | 2018-09-13 |
| 1316440001 | Lords Delight | Clinical Medical Laboratory | 8623 N Loop Dr, El Paso, TX 79907-4520 | 2018-03-09 |
| 1235647074 | Ddls Group LLC | Clinical Medical Laboratory | 5734 Trowbridge Dr, El Paso, TX 79925-3341 | 2018-01-15 |
| 1023460334 | Minerva Genetics LLC | Clinical Medical Laboratory | 5130 Gateway Blvd E, Suite 315, El Paso, TX 79905-1608 | 2016-07-11 |
| 1326427055 | Southwest Histology, LLC | Clinical Medical Laboratory | 1700 Curie Dr Ste 5000, El Paso, TX 79902-2988 | 2015-05-27 |
| 1245575687 | Apsp-el Paso, LLC | Clinical Medical Laboratory | 1510 N Zaragoza Rd Ste B13, El Paso, TX 79936-7894 | 2012-12-11 |
| 1891053807 | Americas Laboratory Services,llc | Clinical Medical Laboratory | 4900 Alameda Ave Ste E, El Paso, TX 79905-2832 | 2012-04-26 |
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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.