Individual provider · Type 1 NPI

Randall Dean Wilcox, LAB DIRECTOR

Phlebotomy Technician · Las Cruces, NM

NPI number 1144592304 Active

Practice location

383 Fossil View Rd
Las Cruces, NM 88007

Mailing address

PO Box 155
Radium Springs, NM 88054-0155

Other practice locations

  • 383 Fossil View Rd, Las Cruces, NM 88007-7176 · (575) 520-3254
  • 383 Fossil View Rd, Las Cruces, NM 88007 · (575) 520-3254

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000XNone listed
Home Health Agency 251E00000XNone listed
Clinical Medical Laboratory 291U00000XNone listed
Adult Care Home Facility 311ZA0620XNone listed
Private Vehicle 347C00000XNone listed
Phlebotomy Technician Primary 246RP1900XNone listed

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About NPI 1144592304

Randall Dean Wilcox, LAB DIRECTOR's National Provider Identifier is 1144592304, issued on Feb 3, 2012. The primary taxonomy on file is Phlebotomy Technician (246RP1900X), and the practice location is in Las Cruces, NM. The record was last updated on Mar 15, 2019.