State of New Mexico
NPI 1407057607ActiveOrganization· Clinical Medical Laboratory· Las Vegas, NM
Clinical Medical Laboratory in Las Vegas, New Mexico, registered in NPPES in May 2007. The authorized official on file is Charles R. Jaramillo, Finance Director. Medicare paid $6,701 for services to 121 patients in 2024.
Overview
| NPI | 1407057607 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2007 |
| Last updated in NPPES | Apr 30, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Medical Laboratory Primary | 291U00000X | 32D0653275 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Clinical Laboratory (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 859 across 4 procedure codes |
| Paid by Medicare | $6,701 |