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PASSPORT HEALTH NEW MEXICO
NPI 1982825667
Clinic/Center - Occupational Medicine in Albuquerque, NM

Active since May 01, 2007CLIA Certified · 2 labs
1717 LOUISIANA BLVD NE, SUITE 212, ALBUQUERQUE, NM 87110(505) 881-8785(505) 872-8785 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Passport Health New Mexico NPPES

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

PASSPORT HEALTH NEW MEXICO (NPI 1982825667) is a healthcare organization registered as an occupational medicine in Albuquerque, New Mexico and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Nanci Baldwin, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1982825667
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameNANULIA
Location Address1717 LOUISIANA BLVD NE, SUITE 212Albuquerque, NM 87110-7001
Mailing Address1717 Louisiana Blvd Ne, Suite 212Albuquerque, NM 87110-4058 · (505) 881-8785
Phone(505) 881-8785
Fax(505) 872-8785
Organization SubpartNo
Authorized OfficialNanci BaldwinCo-owner · (505) 881-8785
Enumeration DateMay 1, 2007
Last NPPES UpdateSeptember 23, 2010
✔ NPI 1982825667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
License✔ Licensed in NM · 03-035189-008
1717 LOUISIANA BLVD NE, Albuquerque, NM 87110
Open in Google Maps ↗

Other Names 1

Doing Business AsPassport Health New Mexico

CLIA Laboratory Certificates CMS CLIA 2

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 32D2206342

Passport Health New Mexico · Albuquerque, NM
Active · expires Dec 17, 2026
CLIA Number32D2206342
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorDr. Irene Agostini
Laboratory Phone(505) 881-8785
Laboratory LocationPassport Health New Mexico1717 Louisiana Blvd NE Suite 212, Albuquerque, NM 87110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2206344

Passport Health New Mexico · Santa Fe, NM
Active · expires Dec 17, 2026
CLIA Number32D2206344
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorDr. Irene Agostina
Laboratory Phone(505) 881-8785
Laboratory LocationPassport Health New Mexico1919 5th Street, Suite F, Santa Fe, NM 87505
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

VACCINES FOR HEALTH
Preventive Medicine (Occupational Medicine)
1717 LOUISIANA BLVD NE, SUITE 212
ALBUQUERQUE, NM 87110
Bernalillo County (505) 881-8785
FEHRUNISSA M WILLETT LPCC
Counselor
1717 LOUISIANA BLVD NE, SUITE 102
ALBUQUERQUE, NM 87110
Bernalillo County (505) 268-1903

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 Nanulia's NPI number?

The NPI number for Nanulia is 1982825667. It was assigned to this organization in the NPPES registry on May 1, 2007. The provider is doing business as Passport Health New Mexico.

Where is Nanulia located?

Nanulia is located at 1717 Louisiana Blvd NE Suite 212, Albuquerque, NM 87110. The listed phone number is (505) 881-8785.

What is Nanulia's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Nanulia hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Nanulia was last updated on September 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.