1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Family Medicine
  6. NPI Profile

MEDERI LIFE LLC
NPI 1649834904
Family Medicine in Albuquerque, NM

Active since April 23, 2019CLIA 32D2166141 · Waiver
6200 COORS BLVD NW STE A8, ALBUQUERQUE, NM 87120(505) 433-4007(505) 433-4068 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2021, Apr 23, 2019 (2 updates tracked since 2019).

About Mederi Life Llc NPPES

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

MEDERI LIFE LLC (NPI 1649834904) is a healthcare organization registered as a family medicine in Albuquerque, New Mexico and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Lisa Padilla, Manager, as its authorized official.

NPPES Registry Identity

NPI1649834904
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDERI LIFE LLC
Location Address6200 COORS BLVD NW STE A8Albuquerque, NM 87120-2794
Mailing Address6200 Coors Blvd Nw Ste A8Albuquerque, NM 87120-2794 · (505) 433-4007 · Fax (505) 433-4068
Phone(505) 433-4007
Fax(505) 433-4068
Organization SubpartNo
Authorized OfficialLisa PadillaManager · (505) 385-9060
Enumeration DateApril 23, 2019
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1649834904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
6200 COORS BLVD NW STE A8, Albuquerque, NM 87120
Open in Google Maps ↗

Other Identifiers 2

Other1649834904NM · Group Npi
Medicaid21089248NM

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 32D2166141

Mederi Life LLC · Albuquerque, NM
Active · expires May 12, 2027
CLIA Number32D2166141
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorDr. Rick Cardenas
Laboratory Phone(505) 433-4007
Laboratory LocationMederi Life LLC6200 Coors Blvd NW Ste A8, Albuquerque, NM 87120
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mederi Life LLC's NPI number?

The NPI number for Mederi Life LLC is 1649834904. It was assigned to this organization in the NPPES registry on April 23, 2019.

Where is Mederi Life LLC located?

Mederi Life LLC is located at 6200 Coors Blvd NW Ste A8, Albuquerque, NM 87120. The listed phone number is (505) 433-4007.

What is Mederi Life LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mederi Life LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2166141) is associated with this NPI, valid through May 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mederi Life LLC was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.