Magnolia Diagnostic Center,inc
NPI #1710057740 in Clovis, New Mexico
Provider Information
- NPI Number
- 1710057740
- Entity Type
- Organization
- Organization Name
- Magnolia Diagnostic Center,inc
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2100 N DR MARTIN LUTHER KING JR BLVD
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-9412
- Phone
- (509) 389-9765
Authorized Official
- Name
- RAMON GUTIERREZ
- Title
- PRESIDENT
- Phone
- (509) 389-9765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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