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Premier Mobile Lab LLC

Clinical Medical Laboratory in Las Cruces, NM · enumerated 2019 · authorized official Randall Wilcox, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740744614

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Mobile Lab LLC
Practice address 383 Fossil View Rd, Las Cruces, NM, 88007
Phone (575) 520-3254
Enumeration date Jan 25, 2019
Last updated in NPPES Jan 25, 2019

Taxonomy & classification

251E00000X Home Health Agency Agencies Secondary
291U00000X Clinical Medical Laboratory Laboratories Primary
305S00000X Point of Service Managed Care Organizations Secondary
310500000X Mental Illness Intermediate Care Facility Nursing & Custodial Care Facilities Secondary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers Secondary

Authorized official

Name Randall Wilcox
Title Ceo
Phone (575) 520-3254

Other identifiers

Identifier Type State Issuer
246RP1900X Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Premier Mobile Lab LLC located?
The practice location on file with NPPES is in Las Cruces, NM.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-01-25. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-25.