NPI 1144592304

Randall Dean Wilcox, LABDIRECTOR

Practitioner Phlebotomy Technician Las Cruces, NM

Practice location

Address: 383 Fossil View Rd, Las Cruces, NM 88007
Phone: (575) 520-3254
Mailing address: PO Box 155, Radium Springs, NM 88054-0155

Registered specialties (6)

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X

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Contractor

Other Service Providers Taxonomy 171W00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X

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Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1144592304
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2012
Record last updated: 15 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.