NPI 1063421089

Innerface Imaging LLC

Organisation Physiological Laboratory Albuquerque, NM

Practice location

Address: 8400 Osuna Blvd NE Suite 5c, Albuquerque, NM 87111
Phone: (505) 314-1669
Fax: (505) 314-1670
Mailing address: 4630 Eubank Blvd NE, Albuquerque, NM 87111

Authorised official

Name: E Gary Fichtner
Title: Owner
Phone: (505) 314-1669

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in New Mexico →

Registry record

NPI: 1063421089
Entity type: Organization
NPI issued: 7 Aug 2006
Record last updated: 22 Aug 2020

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.