Organization · NPI-2
Pathology Consultants Of New Mexico
Pathology, Anatomic Pathology · Roswell, NM
NPI number1063498517
StatusActive
Last updated in NPPESJun 5, 2020
Details
- NPI
- 1063498517
- Entity type
- Organization (NPI-2)
- Legal business name
- Pathology Consultants Of New Mexico
- Organization subpart
- No
- Enumeration date
- Dec 16, 2005
- Certification date
- Jun 5, 2020
- Last updated
- Jun 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0101X | Pathology, Anatomic Pathology | – | – | Yes |
| 207ZC0500X | Pathology, Cytopathology | – | – | |
| 207ZH0000X | Pathology, Hematology | – | – | |
| 207ZI0100X | Pathology, Immunopathology | – | – |
Practice location
600 N Richardson AveRoswell, NM 88201-4828
Phone 505-622-5600 · Fax 505-622-3720
Mailing address
600 N Richardson AveRoswell, NM 88201-4828
Phone 505-622-5600 · Fax 505-622-3720
Authorized official
Lisa Moores
Ceo/ Managing Partner
5756225600
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