Organization · NPI-2

1st Mobile Medical Testing, LLC

Specialist · Las Cruces, NM

NPI number1083388235
StatusActive
Last updated in NPPESAug 2, 2021

Details

NPI
1083388235
Entity type
Organization (NPI-2)
Legal business name
1st Mobile Medical Testing, LLC
Organization subpart
No
Enumeration date
Aug 2, 2021
Certification date
May 11, 2021
Last updated
Aug 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes
246RP1900X Technician, Pathology, Phlebotomy––
261QR0208X Clinic/Center, Radiology, Mobile––
374U00000X Home Health Aide––

Practice location

989 Ivydale Dr
Las Cruces, NM 88005-0927

Phone 575-496-5551

Mailing address

989 Ivydale Dr
Las Cruces, NM 88005-0927

Phone 575-496-5551

Authorized official

Catherine Louise Wamel
Owner
5754965551

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