MICHIEL R NOE MD PA NPI 1003037946

Legal Medicine in El Paso, TX

NPI 1003037946 Organization Legal Medicine CLIA Number 45D0986267 CLIA Certificate of Waiver

About MICHIEL R NOE MD PA

Michiel R Noe Md Pa is a provider established in El Paso, Texas specializing in legal medicine. The NPI number of Michiel R Noe Md Pa is 1003037946 and was assigned on May 2007. The practitioner's primary taxonomy code is 173000000X with license number J6634 (TX). The provider is registered as an organization and their NPI record was last updated 12 years ago. Michiel R Noe Md Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Michiel Ray Noe M.d. (Physician)

The CLIA number of Michiel R Noe Md Pa is 45D0986267 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Michiel R Noe Md Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003037946

Provider NameMICHIEL R NOE MD PA
Provider Location Address1440 GEORGE DIETER DRIVE SUITE A EL PASO, TX 79936
Provider Mailing Address1440 GEORGE DIETER DRIVE SUITE A EL PASO, TX 79936
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-01-2007
Last Update Date01-27-2010


Primary Taxonomy

Taxonomy Code173000000X
ClassificationLegal Medicine
TypeOther Service Providers
License No.J6634
License StateTX
Taxonomy DescriptionThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Business Address

MICHIEL R NOE MD PA
1440 GEORGE DIETER DRIVE
SUITE A
EL PASO, TX
ZIP 79936
Phone: (915) 591-4444
Fax: (915) 921-9000

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Mailing Address

MICHIEL R NOE MD PA
1440 GEORGE DIETER DRIVE
SUITE A
EL PASO, TX
ZIP 79936
Phone: (915) 591-4444
Fax: (915) 921-9000



Authorized Official

Authorized Official NameDR. MICHIEL RAY NOE M.D.
Authorized Official TitlePHYSICIAN
Authorized Official Phone(915) 591-4444

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003037946 is:

CLIA Number45D0986267
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
185288101MEDICAID (05)TX
G08149MEDICARE UPIN (02)TX

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.