OrganizationActive
Fernando Hernandez
NPI 1902935406 · Clinical Medical Laboratory · Scottsbluff, NE
Provider details
- NPI number
- 1902935406
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Fernando Hernandez, President(877) 307-6654
Specialties & taxonomies
Laboratories
Practice location
713 W 27th St
Scottsbluff, NE 69361-4412
Phone: (187) 730-7665
Approximate (ZIP-level) locationGet directions
Mailing address
713 W 27th St
Scottsbluff, NE 69361-4412
Other names (DBA / former)
- Doing business as
- 121 Century Medical Lab
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.