| NPI | 1942962493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTTA EHIMAN Laboratory Director 505-353-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |