LOVELACE WESTSIDE HOSPITAL (NPI# 1780884270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780884270 |
| Entity Type | Organization |
| Organization Name | LOVELACE WESTSIDE HOSPITAL |
| Other Organization Name | S.E.D. MEDICAL LABORATORIES |
| Practice Address |
10501 Golf Course Rd Nw Albuquerque NM 87114-5019 |
| Mailing Address |
5601 Office Blvd Ne Albuquerque NM 87109-5879 |
| Practice Telephone | 5057272070 |
| Mailing Telephone | 5057276210 |
| Mailing Fax Number | 5057279450 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |
| Authorized Official Name | MRS. SCHELLEY JO CARLTON (BILLING MANAGER) |
| Authorized Official Telephone | 5057276210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | NM | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 52506 | 05 |
| Other Name | Type Code |
|---|---|
| S.E.D. Medical Laboratories | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215212949 | Lovelace Westside Hospital | General Acute Care Hospital | 10511 Golf Course Rd Nw, Suite 104, Albuquerque, NM 87114-5916 | 2011-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOVELACE WESTSIDE HOSPITAL | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 |
| Street Address |
10501 GOLF COURSE RD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-5019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497700330 | Sanjay K Kholwadwala | Emergency Medicine | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2006-05-22 |
| 1447893128 | Kelli D Dominguez | Nurse Practitioner | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2019-10-24 |
| 1811406952 | Tonya Kathleen Carbajal | Occupational Therapist | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2017-09-20 |
| 1649728445 | Ashley Dunworth | Dietitian, Registered | 10501 Golf Course Rd Nw, Dept: Bariatrics, Albuquerque, NM 87114-5019 | 2016-09-21 |
| 1174989115 | Fabian Rodriguez | Nurse Practitioner | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2016-01-06 |
| 1841667953 | Uva Mason | Dietitian, Registered | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2015-08-24 |
| 1396148326 | Jimmy F Andazola | Physician Assistant | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2014-10-05 |
| 1861804049 | Denille Marie Storey | Contractor | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2014-05-22 |
| 1528491966 | Theresa A Gutierrez | Nurse Practitioner | 10501 Golf Course Rd Nw, Bariatric Dept, Albuquerque, NM 87114-5019 | 2013-08-20 |
| 1780921015 | Comprehensive Hospitalist Services of New Mexico LLC | Hospitalist | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2013-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| 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 | 87114 |
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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.