NPI 1407411762

Ron Smock

Practitioner Clinical Medical Laboratory Albuquerque, NM

Practice location

Address: 4213 Montgomery Blvd NE, Albuquerque, NM 87109-1103
Phone: (505) 255-1090
Fax: (595) 345-5799
Mailing address: PO Box 95708, Albuquerque, NM 87199-5708

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 32D-0000011 (NM)

Other Clinical Medical Laboratory providers in New Mexico →

Registry record

NPI: 1407411762
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2019
Record last updated: 2 May 2019

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.