NPI 1407057607

State of New Mexico

Organisation Clinical Medical Laboratory Las Vegas, NM

Practice location

Address: 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549
Phone: (505) 454-2100

Authorised official

Name: Charles R. Jaramillo
Title: Finance Director
Phone: (505) 454-2306

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 32D0653275 (NM)

Other Clinical Medical Laboratory providers in New Mexico →

Registry record

NPI: 1407057607
Entity type: Organization
NPI issued: 29 May 2007
Record last updated: 30 Apr 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.