| NPI | 1619335197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WIDNER CEO 505-224-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NM 32D2093550) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |