| NPI | 1609106756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFAN ALFRED LONG Quality Manager 575-646-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NM 32D1086620) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |