| NPI | 1023151966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY DODSON Office Manager 575-622-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NM 32D0537459) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-11-07 |