State of New Mexico
State of New Mexico is a Clinical Medical Laboratory in Las Vegas, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.
- Licensed in
- NM
- In the registry since
- 2007
Practice location Address checks out
3695 Hot Springs BlvdLas Vegas, NM 87701-9549
Phone: (505) 454-2100
Show map & directions
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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 · Licence 32D0653275 (NM) |
|---|
Record details
| NPI number | 1407057607 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Jaramillo — Finance Director · (505) 454-2306 |
| Other names | New Mexico Behavioral Health Institue At Las Vegas |
| NPI enumerated | May 29, 2007 |
| Last updated in NPPES | April 30, 2009 |
| Mailing address | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 |