Randall Dean Wilcox is a Phlebotomy Technician based in Radium Springs, NM and is specialized in Phlebotomy. Randall Dean Wilcox practices in Las Cruces, NM and has the professional credentials of LABDIRECTOR. The NPI Number for Randall Dean Wilcox is 1144592304 and holds a License No. (New Mexico).
The current practice location address for Randall Dean Wilcox is 383 Fossil View Rd, Las Cruces, NM and can be reached out via phone at 575-520-3254.
Location: 383 Fossil View Rd, Las Cruces, NM, 88054-0155
Provider Profile Details
NPI Number
1144592304
Provider Name
Randall Dean Wilcox
Credential
LABDIRECTOR
Provider Entity Type
Individual
Gender
Male
Address
383 Fossil View Rd, Las Cruces, NM, 88054-0155
Phone Number
575-520-3254
Fax Number
Provider Enumeration Date
02/03/2012
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291U00000X | 05 | NM | |
| 347C00000X | 05 | NM | |
| 311ZA0620X | 05 | NM | |
| 251E00000X | 05 | NM | |
| 1144592304 | 05 | NM | |
| 246RP19000X-PHEBOTOM | 05 | NM |
Provider Business Practice Location Address Details
Address
383 Fossil View Rd
City
State
Zip
88007
Phone Number
575-520-3254
Fax Number
Provider Business Mailing Address Details
Address
383 Fossil View Rd
City
State
Zip
88007
Phone Number
575-520-3254
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
(New Mexico)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 4
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
License No.
()
Definition
(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.
Provider's Taxonomy Details 5
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Provider's Taxonomy Details 6
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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