Premier Mobile Lab Llc
LBN: Premier Mobile Lab Llc
Premier Mobile Lab Llc is an health care organization with primary practice located at 383 Fossil View Rd , Las Cruces NM 88007-7176. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Health, Laboratories / Clinical Medical Laboratory, Managed Care Organizations / Point of Service, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy. Laboratories / Clinical Medical Laboratory is the primary health care specialty.
Premier Mobile Lab Llc can be contacted via phone (575) 520-3254, or through Wilcox, Randall Dean via phone (575) 520-3254.
Contact Information
Primary practice address
383 Fossil View Rd
Las Cruces NM 88007-7176
Phone: (575) 520-3254
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Managed Care Organizations / Point of Service | 305S00000X | ||
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness | 310500000X | ||
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Profile Details
| NPI number | 1740744614 |
|---|---|
| LBN Legal business name | Premier Mobile Lab Llc |
| DBA Doing business as | |
| Authorized official | Wilcox, Randall Dean PHLEBOTOMY |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2019 |
| Last updated | Jan 25th, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740744614 | NPPES |
| New Mexico | MEDICAID | 246RP1900X |
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