Organization
RECOVERY SERVICES OF NEW MEXICO, LLC
Active
Other names
BayMark Health Laboratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
5659 JEFFERSON ST NE, SUITE E, ALBUQUERQUE, NM 87109-3458
(505) 242-6919
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA 32D2076684
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25392
COLA
NM
01
—
32D2076684
CLIA
NM
01
—
677558
MEDICAID
NM
Enumeration date
04/14/2015
Last updated
07/29/2024
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