Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Diagnostic Center, Inc

Organization Clinical Medical Laboratory · NPI 1710057740

Magnolia Diagnostic Center, Inc is a Clinical Medical Laboratory in Clovis, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 N Dr Martin Luther King Jr Blvd
Clovis, NM 88101-9412
Phone: (509) 389-9765
Fax: (505) 213-0132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X (NM)

Record details

NPI number1710057740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramon Gutierrez — President · (509) 389-9765
NPI enumeratedNovember 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2100 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101-9412

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