| NPI | 1366511610 |
|---|---|
| Doing Business As | PATHLAB LAS CRUCES |
| Entity Type | Organization |
| Authorized Contact | RICHARD D FERNANDEZ Medcial Director 505-521-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NM 32D1059687) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |