Search › New Mexico › 246RP1900X
Randall Wilcox, LAB DIRECTOR
NPI 1144592304 · on the registry since 2012 · sole proprietor
Practice
- Address
- 383 Fossil View Rd
Las Cruces, NM 88007 - Phone
- (575) 520-3254
- Organisation at this address
- Premier Mobile Lab Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 383 Fossil View Rd, Las Cruces, NM
- 383 Fossil View Rd, Las Cruces, NM
Registry record
- Primary taxonomy
- 246RP1900X
246RP1900X
- Also registered as
- 171W00000X
251E00000X
291U00000X
311ZA0620X
347C00000X - Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico