| NPI | 1912386491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA RUSHTON Lab Director 505-235-3810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 207SC0300X) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |