| NPI | 1780059717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN D BALDWIN Partner / Medical Director 505-433-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2020-04-20 |