| NPI | 1245387158 |
|---|---|
| Doing Business As | NORTHERN NEW MEXICO VASCULAR LAB |
| Entity Type | Organization |
| Authorized Contact | PAUL E WALSKY Owner 505-982-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NM 78283) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-06-17 |