Premier Mobile Lab LLC
NPI 1740744614ActiveOrganization· Clinical Medical Laboratory· Las Cruces, NM
Clinical Medical Laboratory in Las Cruces, New Mexico, registered in NPPES in January 2019. The authorized official on file is Randall Dean Wilcox, PHLEBOTOMY, Ceo.
Overview
| NPI | 1740744614 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2019 |
| Last updated in NPPES | Jan 25, 2019 |
Specialties and licenses
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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