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:
Map and Directions
Authorized official contact:
Name: Wilcox, Randall Dean PHLEBOTOMY
Phone: (575) 520-3254

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740744614 NPPES
New Mexico MEDICAID 246RP1900X

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