NPI 1033501747
Petroglyph Pathology Services LLC
Practice location
- Address
- 640 Quantum Rd NE, Rio Rancho, NM 87124-4506
- Phone
- (505) 924-0209
Authorised official
- Name
- David Rowe
- Title
- Lab Manager
- Phone
- (505) 924-0209
Registered specialties
Anatomic Pathology & Clinical Pathology Physician
Primary
Registry record
- NPI
- 1033501747
- Entity type
- Organization
- NPI issued
- 4 Mar 2015
- Record last updated
- 18 Apr 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.