Individual provider · NPI-1
Insley Evans Sr.
Spec/Tech, Pathology, Laboratory Management, Diplomate · Albuquerque, NM
NPI number1205733847
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1205733847
- Entity type
- Individual (NPI-1)
- Name
- Insley Evans Sr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2026
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246QL0901X | Spec/Tech, Pathology, Laboratory Management, Diplomate | – | – | Yes |
| 156F00000X | Technician/Technologist | – | – | |
| 171W00000X | Contractor | – | – | |
| 172A00000X | Driver | – | – | |
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | – |
Practice location
6211 4th St Nw Ste 1Albuquerque, NM 87107-5700
Phone 888-983-5889 · Fax 888-408-1009
Mailing address
1500 Villa Del Valle NeAlbuquerque, NM 87113-1096
Phone 888-983-5889 · Fax 888-408-1009
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