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NPI 1720779994ActiveOrganization· Clinical Medical Laboratory· Santa Teresa, NM

Clinical Medical Laboratory in Santa Teresa, New Mexico, registered in NPPES in May 2023. The authorized official on file is Cassandra Robinson, Owner.

Overview

NPI1720779994
StatusActive
Entity typeOrganization
NPI issuedMay 17, 2023
Last updated in NPPESMay 17, 2023
Certified by providerMay 17, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Clinical Medical Laboratory Primary291U00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years