IndividualActive
Jeremiah Lopez, LAB DIRECTOR
NPI 1023609112 · Clinical Medical Laboratory · El Paso, TX
Provider details
- NPI number
- 1023609112
- Entity type
- Individual
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Credential
- LAB DIRECTOR
- Sex
- Male
- Sole proprietor
- Yes
- License
- 45D2203712 (TX)
Specialties & taxonomies
Laboratories
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12029 Greenveil Dr
El Paso, TX 79936-0388
Phone: (915) 246-2139
Street-level locationGet directions
Mailing address
12029 Greenveil Dr
El Paso, TX 79936-0388
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2021-02-01
- Certified
- 2021-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.