Northern Nm Vascular Lab
NPI #1659607760 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1659607760
- Entity Type
- Organization
- Organization Name
- Northern Nm Vascular Lab
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 23, 2009
- Last Updated
- Oct 23, 2009
Practice Location
- Address
- 7555 ENCHANTED HLS DR NE
- Address 2
- SUITE 210
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87144-8625
- Phone
- (505) 771-9001
Authorized Official
- Name
- MR. PAUL E. WALSKY, M.D.
- Title
- OWNER
- Phone
- (505) 982-3814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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