INDIAN HEALTH SERVICE- JICARILLA SERVICE UNIT
NPI 1477628659
Clinical Medical Laboratory in Dulce, NM

Active since November 22, 2006
12000 STONE LAKE DRIVE, DULCE, NM 87528(505) 759-3291 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Indian Health Service- Jicarilla Service Unit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIAN HEALTH SERVICE- JICARILLA SERVICE UNIT (NPI 1477628659) is a healthcare organization registered as a clinical medical laboratory in Dulce, New Mexico and active in the NPI registry since November 2006. The organization lists Jim Sutton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477628659
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameINDIAN HEALTH SERVICE- JICARILLA SERVICE UNIT
Location Address12000 STONE LAKE DRIVEDulce, NM 87528-0187
Mailing AddressPo Box 804Dulce, NM 87528-0804 · (505) 759-0440
Organization SubpartNo
Authorized OfficialJim SuttonCeo · (505) 759-3291
Enumeration DateNovember 22, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1477628659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

12000 STONE LAKE DRIVE, Dulce, NM 87528

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Pathology (Laboratory Management)
12000 STONE LAKE DRIVE, LABORATORY
DULCE, NM 87528
Specialist/Technologist, Other (Illustration, Medical)
12000 STONE LAKE DRIVE
DULCE, NM 87528

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 Indian Health Service- Jicarilla Service Unit's NPI number?

The NPI number for Indian Health Service- Jicarilla Service Unit is 1477628659. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Indian Health Service- Jicarilla Service Unit located?

Indian Health Service- Jicarilla Service Unit is located at 12000 Stone Lake Drive, Dulce, NM 87528. The listed phone number is (505) 759-3291.

What is Indian Health Service- Jicarilla Service Unit's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Indian Health Service- Jicarilla Service Unit was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.