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Premier Mobile Lab LLC — NPI 1740744614, Las Cruces, NM | NPI Central

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NPI 1740744614

OrganizationActive

Premier Mobile Lab LLC

NPI 1740744614 · Clinical Medical Laboratory · Las Cruces, NM

Provider details

NPI number: 1740744614
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Organization subpart: No
Authorized official: Randall Wilcox, Ceo(575) 520-3254

Specialties & taxonomies

Clinical Medical LaboratoryPrimary291U00000X
Laboratories
Home Health Agency251E00000X
Agencies
Point of Service305S00000X
Managed Care Organizations
Mental Illness Intermediate Care Facility310500000X
Nursing & Custodial Care Facilities
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy332800000X
Suppliers

Practice location

383 Fossil View Rd

Las Cruces, NM 88007-7176

Phone: (575) 520-3254

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

Po Box 155

Radium Springs, NM 88054-0155

Other names (DBA / former)

Former legal business name: Premier Mobile Lab LLC

Registry dates

Enumerated: 2019-01-25
Last updated: 2019-01-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.