Northern New Mexico Vascular Lab Inc.

NPI #1285934976 in Santa Fe, New Mexico

Provider Information

NPI Number
1285934976
Entity Type
Organization
Organization Name
Northern New Mexico Vascular Lab Inc.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Oct 27, 2010
Last Updated
Oct 27, 2010

Practice Location

Address
531 HARKLE RD
Address 2
SUITE A-2
ZIP Code
87505-4753
Phone
(505) 982-8482

Authorized Official

Name
MR. PAUL E. WALSKY, M.D.
Title
OWNER
Phone
(505) 982-8482

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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