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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 347C00000X | 05 | |
NM | 246RP19000X-PHEBOTOM | 05 | |
NM | 291U00000X | 05 | |
NM | 311ZA0620X | 05 | |
NM | 1144592304 | 05 | |
NM | 251E00000X | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
383 Fossil View Rd, Las Cruces, NM 880077176 | 5755203254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548712987 | Randall Wilcox | Rehabilitation Practitioner | 224 E Winnie Ln Ste 212, Carson City, NV 89706-2251 | 2016-11-02 |
Street Address |
383 FOSSIL VIEW RD |
City | LAS CRUCES |
State | NM |
Zip Code | 88007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740744614 | Premier Mobile Lab LLC | Home Health | 383 Fossil View Rd, Las Cruces, NM 88007-7176 | 2019-01-25 |
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 Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
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 |
City | LAS CRUCES |
Zip Code | 88007 |
Please comment or provide details below to improve the information on RANDALL DEAN WILCOX.
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.