| NPI | 1750526711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KLAY ROBERTS President 505-828-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NM fa0000998) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |