LOS ALAMOS PEDIATRIC CLINIC
NPI 1245248830
Pediatrics in Los Alamos, NM
About Los Alamos Pediatric Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOS ALAMOS PEDIATRIC CLINIC (NPI 1245248830) is a healthcare organization registered as a pediatrics in Los Alamos, New Mexico and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Jacqueline Anne Krohn, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 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 of Waiver 32D0536704
Los Alamos Pediatric Clinic, PC · Los Alamos, NMOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ALAMOS, NM 87544
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 Los Alamos Pediatric Clinic's NPI number?
The NPI number for Los Alamos Pediatric Clinic is 1245248830. It was assigned to this organization in the NPPES registry on August 3, 2006.
Where is Los Alamos Pediatric Clinic located?
Los Alamos Pediatric Clinic is located at 3917 West Road Suite 136, Los Alamos, NM 87544. The listed phone number is (505) 662-9620.
What is Los Alamos Pediatric Clinic's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Does Los Alamos Pediatric Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D0536704) is associated with this NPI, valid through December 19, 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 Los Alamos Pediatric Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Los Alamos Pediatric Clinic · NPI 1245248830
Pediatrics organization in Los Alamos, New Mexico. Organization record, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1245248830 (Entity type: Organization)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Jacqueline Krohn, PRESIDENT
## Practice location
- **Address:** 3917 WEST ROAD, SUITE 136, Los Alamos, NM 87544
- **Phone:** (505) 662-9620 · **Fax:** (505) 662-0024
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 11783 (NM); Other 10003513 (NM); Other PROVP13573 (NM); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245248830) · Data from the CMS NPPES public registry.