| NPI | 1285934976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E. WALSKY Owner 505-982-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NM 78-283) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |