Vascular Diagnostic Lab
NPI #1245454073 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1245454073
- Entity Type
- Organization
- Organization Name
- Vascular Diagnostic Lab
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Dec 31, 2014
Practice Location
- Address
- 3850 FOOTHILLS RD.
- Address 2
- #3
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-8268
- Phone
- (575) 522-5511
Authorized Official
- Name
- MRS. RITA POLSKY
- Title
- ADMINISTRATOR
- Phone
- (575) 635-7145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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