SOUTHWEST LABS LLC (NPI# 1780059717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780059717 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST LABS LLC |
| Practice Address |
4261 Balloon Park Rd Ne Albuquerque NM 87109-5802 |
| Practice Telephone | 5054333985 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | DR. EVAN D BALDWIN (PARTNER / MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5054333985 |
| 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 | 61330086 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 Osuna Rd Ne Ste 130, Albuquerque, NM 871094471 | 5055655282 |
| Street Address |
4261 BALLOON PARK RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| 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 |
| 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 |
| 1548488414 | Scientific Laboratory Division Nmdoh | Clinical Medical Laboratory | 700 Camino De Salud, Albuquerque, NM 87106-3740 | 2007-04-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.