ELIZABETH MD FACIAL PLASTIC SURGERY LLC
NPI 1609653336
Otolaryngology - Facial Plastic Surgery in Albuquerque, NM
- Organization
- Otolaryngology
- Facial Plastic Surgery
- CLIA Number: 32D2337382
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-21-2028
About ELIZABETH MD FACIAL PLASTIC SURGERY LLC
This page provides the complete NPI Profile along with additional information for Elizabeth Md Facial Plastic Surgery Llc, a provider established in Albuquerque, New Mexico operating as a Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1609653336 assigned on September 2023. The practitioner's primary taxonomy code is 207YS0123X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Elizabeth Blasberg Md (Physician/owner)
- NPI
- 1609653336 Verify this NPI
- Provider Name
- ELIZABETH MD FACIAL PLASTIC SURGERY LLC
- Entity Type
- Organization
- Location Address
- 4100 WOLCOTT AVE NE STE A ALBUQUERQUE, NM 87109
- Location Phone
- (505) 855-5500
- Location Fax
- (505) 855-5501
- Mailing Address
- 4100 WOLCOTT AVE NE STE A ALBUQUERQUE, NM 87109
- Mailing Phone
- (505) 855-5500
- Mailing Fax
- (505) 855-5501
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-14-2023
- Last Update Date
- 09-14-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Facial Plastic Surgery
- Taxonomy Code
- 207YS0123X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An otolaryngologist who specializes in facial plastic surgery.
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.
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 this NPI number is:
- CLIA Number
- 32D2337382
- Facility Type
- Physician Office
- Certificate Effective Date
- January 22, 2026
- Certificate Expiration Date
- January 21, 2028
- Laboratory Director
- ELIZABETH A. BLASBERG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Elizabeth Md Facial Plastic Surgery Llc 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.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
ALBUQUERQUE, NM 87109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609653336, enumerated as an "organization" on September 14, 2023.
The provider is located at 4100 WOLCOTT AVE NE STE A ALBUQUERQUE, NM 87109 and the phone number is (505) 855-5500.
Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.
