NPI 1083843841

Dhhs Phs Naihs Shiprock Hospital

Organisation Clinical Medical Laboratory Bloomfield, NM

Practice location

Address: 6 Road 7586, Bloomfield, NM 87413-4934
Phone: (505) 368-6401
Fax: (505) 368-6431
Mailing address: PO Box 160, Shiprock, NM 87420-0160

Authorised official

Name: Fannessa Comer
Title: Ceo
Phone: (505) 368-6001

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 32D0670057

Other Clinical Medical Laboratory providers in New Mexico →

Registry record

NPI: 1083843841
Entity type: Organization
NPI issued: 14 Jul 2009
Record last updated: 14 Jul 2009

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.