STATE OF NEW MEXICO
Organization (NPI-2)
Active
Clinical Medical Laboratory
Provider Information
- NPI Number
1073529624- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 992 S BROADWAY, TRUTH OR CONSEQUENCES, NM, 879013198
- Phone
- (575) 894-4200
- Fax
- (575) 894-4291
Specialties & Taxonomies
Clinical Medical Laboratory
License: NM #32D0693149
Clinical Medical Laboratory
Primary License: NM #5087