State of New Mexico
NPI #1073529624 in Truth Or Consequences, New Mexico
Provider Information
- NPI Number
- 1073529624
- Entity Type
- Organization
- Organization Name
- State of New Mexico
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF NEW MEXICO
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Apr 6, 2010
Practice Location
- Address
- 992 S BROADWAY
- State
- New Mexico
- ZIP Code
- 87901-3198
- Phone
- (575) 894-4200
Authorized Official
- Name
- MARIE R RICHTER
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (575) 894-4216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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