RANDALL DEAN WILCOX


Address: 383 Fossil View Rd, Las Cruces, NM 88007
Phone: 5755203254

RANDALL DEAN WILCOX (NPI# 1144592304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144592304
Entity Type Individual
Full Name RANDALL DEAN WILCOX
Credential LAB DIRECTOR
Practice Address 383 Fossil View Rd
Las Cruces
NM 88007
Mailing Address Po Box 155
Radium Springs
NM 88054-0155
Practice Telephone 5755203254
Mailing Telephone 5755203254
Enumeration Date 2012-02-03
Last Update Date 2019-03-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171W00000X Contractor Other Service Providers
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
NM Technologists, Technicians & Other Technical Service Providers
N 251E00000X Home Health Agencies
N 291U00000X Clinical Medical Laboratory Laboratories
N 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities
N 347C00000X Private Vehicle Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
NM 347C00000X 05
NM 246RP19000X-PHEBOTOM 05
NM 291U00000X 05
NM 311ZA0620X 05
NM 1144592304 05
NM 251E00000X 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
383 Fossil View Rd, Las Cruces, NM 880077176 5755203254

Other Providers RANDALL WILCOX

NPI Name Taxonomy Address Enumeration
1548712987 Randall Wilcox Rehabilitation Practitioner 224 E Winnie Ln Ste 212, Carson City, NV 89706-2251 2016-11-02

Office Location

Street Address 383 FOSSIL VIEW RD
City LAS CRUCES
State NM
Zip Code 88007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740744614 Premier Mobile Lab LLC Home Health 383 Fossil View Rd, Las Cruces, NM 88007-7176 2019-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952814196 Debra G Hanus Registered Nurse 12325 Fort Mcrae Rd., Las Cruces, NM 88007 2017-11-09
1730698309 Equine Assisted Programs of Southern New Mexico LLC Clinic/Center 190 Providence Road, Las Cruces, NM 88007 2017-09-26
1952841926 Kimberly Danielle Diaz Marriage & Family Therapist 471 Alvillar Rd, Las Cruces, NM 88007 2017-02-24
1326420951 Juan Mendoza Psychologist 715 E. Idaho, Las Cruces, NM 88007 2015-06-19
1801206974 Sonnie Michelle Sanchez Case Manager/Care Coordinator 2211 N. Valley Dr., Las Cruces, NM 88007 2014-04-29
1932528171 Carrie A Jones Case Manager/Care Coordinator 2211 N. Valley, Las Cruces, NM 88007 2014-04-15
1881015402 Tony Trevino Case Manager/Care Coordinator 660 Copa Lane, Las Cruces, NM 88007 2013-12-27
1982025508 Gilbert L Barela Case Manager/Care Coordinator 440 Helens Place, Las Cruces, NM 88007 2013-12-27
1497176010 Heather Barela Case Manager/Care Coordinator 305 Windchime Lane, Las Cruces, NM 88007 2013-12-27
1962833194 Sylvia Trevino Case Manager/Care Coordinator 660 Copa Ln., Las Cruces, NM 88007 2013-12-13
Find all providers in zip 88007

Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275169310 Vivianelizabeth Marquezdelagarza Technician, Pathology 223 N Guadalupe St # 218, Santa Fe, NM 87501-1868 2020-03-20
1033661889 Mobile Blood Services Technician, Pathology 1326 4th St Sw, Albuquerque, NM 87102-4366 2016-10-27
1669762043 Veronica A Medlin Technician, Pathology 1200 Stone Lake Rd, Dulce, NM 87528 2011-04-19
1174766976 Joseph Duc Escudero Technician, Pathology 11101 Fiesta Park Nw, Albuquerque, NM 87114-5275 2009-04-09
1700267416 Leonor Cornish Technician, Pathology 1515 Eubank Blvd Se Bldg 831, Albuquerque, NM 87123-3453 2015-06-18
1104207810 Josie Barela Technician, Pathology 1515 Eubank Blvd Se Bldg 831, Albuquerque, NM 87123-3453 2015-06-18
1083095335 William Casias Technician, Pathology 1515 Eubank Blvd Se, Bldg 831, Albuquerque, NM 87123-3453 2015-06-12
1174904411 Bryan Trevino-rivas Technician, Pathology 1515 Eubank Blvd Se, Bldg 831, Albuquerque, NM 87123-3453 2015-06-12
1518348861 Mariano Gallegos Technician, Pathology 1515 Eubank Blvd Ne, Bldg 831/832, Albuquerque, NM 87112-4112 2015-06-12
1235519554 Billy Lucero Technician, Pathology 1515 Eubank Blvd Se Bldg 831, Albuquerque, NM 87123-3453 2015-06-02
Find all providers with the same taxonomy

Competitor

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City LAS CRUCES
Zip Code 88007

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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