NPI 1245454073

Vascular Diagnostic Lab

Organisation Physiological Laboratory Las Cruces, NM

Practice location

Address: 3850 Foothills Rd. #3, Las Cruces, NM 88011-8268
Phone: (575) 522-5511
Fax: (575) 522-0825
Mailing address: P.O. Box 6366, Las Cruces, NM 88006-6366

Authorised official

Name: Rita Polsky
Title: Administrator
Phone: (575) 635-7145

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in New Mexico →

Registry record

NPI: 1245454073
Entity type: Organization
NPI issued: 12 Apr 2007
Record last updated: 31 Dec 2014

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.