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REFORM ABQ
NPI 1629803192
Clinic/Center - Medical Specialty in Albuquerque, NM

Active since September 04, 2024CLIA 32D2251240 · Waiver
200 OAK ST NE STE 7, ALBUQUERQUE, NM 87106(505) 420-6979 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reform Abq NPPES

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

REFORM ABQ (NPI 1629803192) is a healthcare organization registered as a medical specialty in Albuquerque, New Mexico and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Dee M Cagley, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1629803192
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameREFORM ABQ
Location Address200 OAK ST NE STE 7Albuquerque, NM 87106-4353
Mailing Address200 Oak St Ne Ste 7Albuquerque, NM 87106-4353 · (505) 420-6979
Phone(505) 420-6979
Organization SubpartNo
Authorized OfficialDee M CagleyBilling Manager · (714) 421-9316
Enumeration DateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
✔ NPI 1629803192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedNursing CareTaxonomy 251J00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X
200 OAK ST NE STE 7, Albuquerque, NM 87106
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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 32D2251240

Reform Abq, LLC · Albuquerque, NM
Active · expires Jan 31, 2028
CLIA Number32D2251240
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorRodgers Jacqueline
Laboratory Phone(505) 420-6979
Laboratory LocationReform Abq, LLC200 Oak St NE Suite 7, Albuquerque, NM 87106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JAILEEN J HILLIARD NURSE
Registered Nurse (General Practice)
200 OAK ST NE STE 7
ALBUQUERQUE, NM 87106
Bernalillo County (505) 420-6979

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 Reform Abq's NPI number?

The NPI number for Reform Abq is 1629803192. It was assigned to this organization in the NPPES registry on September 4, 2024.

Where is Reform Abq located?

Reform Abq is located at 200 Oak St NE Ste 7, Albuquerque, NM 87106. The listed phone number is (505) 420-6979.

What is Reform Abq's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Reform Abq hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2251240) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reform Abq was last updated on September 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.