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Premier Mobile Lab Llc
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Las Cruces, New Mexico
NPI 1740744614

Premier Mobile Lab Llc is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Radium Springs, NM. Premier Mobile Lab Llc practices in Las Cruces, NM. The NPI Number for Premier Mobile Lab Llc is 1740744614 and holds a License No. (New Mexico).

The current practice location address for Premier Mobile Lab Llc is 383 Fossil View Rd, Las Cruces, NM and can be reached out via phone at 575-520-3254. You can also correspond with Premier Mobile Lab Llc through the mailing address at PO BOX 155, RADIUM SPRINGS, NM - 88054-0155 (mailing address contact number: 575-520-3254).

Location: 383 Fossil View Rd, Las Cruces, NM, 88054-0155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740744614
Provider Name
Premier Mobile Lab Llc
Credential
Provider Entity Type
Organization
Address
383 Fossil View Rd, Las Cruces, NM, 88054-0155
Phone Number
575-520-3254
Fax Number
Provider Enumeration Date
01/25/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
246RP1900X 05 NM
institution
Provider Business Practice Location Address Details
Address
383 Fossil View Rd
City
Las Cruces
State
New Mexico
Zip
88007-7176
Phone Number
575-520-3254
Fax Number
person
Provider Business Mailing Address Details
Address
383 Fossil View Rd
City
Las Cruces
State
New Mexico
Zip
88007-7176
Phone Number
575-520-3254
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
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.
person
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
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.
person
Provider's Taxonomy Details 3
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
person
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
()
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
()
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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