| NPI | 1265468698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L LOPEZ Pathologist 505-521-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NM NM7982) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2018-01-30 |