NPI 1801003231
Petroglyph Pathology Services, LLC
Practice location
- Address
- 640 Quantum Rd NE, Rio Rancho, NM 87124-4506
- Phone
- (505) 924-0209
- Fax
- (505) 924-0210
Authorised official
- Name
- Sandra M Mueller
- Title
- Pathologist
- Phone
- (505) 924-0209
Registered specialties (2)
Anatomic Pathology & Clinical Pathology Physician
Primary
Clinical Medical Laboratory
Registry record
- NPI
- 1801003231
- Entity type
- Organization
- NPI issued
- 16 May 2007
- Record last updated
- 2 Oct 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.