BLUE AND RED BIRD CORPORATION, PC.
NPI 1124579958
Clinic/Center - Primary Care in Clovis, NM
About Blue And Red Bird Corporation, Pc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE AND RED BIRD CORPORATION, PC. (NPI 1124579958) is a healthcare organization registered as a primary care in Clovis, New Mexico and active in the NPI registry since October 2016. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Ali M Ghaffari, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D0690009
Blue And Red Bird Corp PC · Clovis, NMOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blue And Red Bird Corporation, PC.'s NPI number?
The NPI number for Blue And Red Bird Corporation, PC. is 1124579958. It was assigned to this organization in the NPPES registry on October 17, 2016.
Where is Blue And Red Bird Corporation, PC. located?
Blue And Red Bird Corporation, PC. is located at 815 W 14th St, Clovis, NM 88101. The listed phone number is (575) 762-6492.
What is Blue And Red Bird Corporation, PC.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Blue And Red Bird Corporation, PC. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D0690009) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Blue And Red Bird Corporation, PC. was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Blue And Red Bird Corporation, Pc. · NPI 1124579958
Primary Care organization in Clovis, New Mexico. Organization record, active in the CMS NPPES registry since October 17, 2016.
## Identity
- **NPI:** 1124579958 (Entity type: Organization)
- **Enumerated:** October 17, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ali Ghaffari, PRESIDENT
## Practice location
- **Address:** 815 W 14TH ST, Clovis, NM 88101-5514
- **Phone:** (575) 762-6492 · **Fax:** (757) 935-8333
## Record status
- **NPPES last updated:** October 17, 2016
- **Other identifiers:** Medicare UPIN CN7783 (NM)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124579958) · Data from the CMS NPPES public registry.