Organization
ALAMEDA LABORATORY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS C PRIETO SR. (PRESIDENT)
(915) 849-7759
Entity
Organization
Contact information
Practice address
4900 ALAMEDA AVE STE E, EL PASO, TX 79905-2832
(915) 270-9998
(915) 270-9997
Mailing address
4900 ALAMEDA AVE STE E, EL PASO, TX 79905-2832
(915) 270-9998
(915) 270-9997
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
32056766846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349500401
—
TX
01
—
426169
MEDICARE
TX
Enumeration date
04/17/2015
Last updated
12/18/2015
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