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Organization
SANTA FE PATHOLOGY SERVICES PA
Active
Organization
SANTA FE PATHOLOGY SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JAMES VANDERJAGT MD (PRESIDENT)
(505) 913-5293
Entity
Organization
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5302
(505) 820-2461
Mailing address
PO BOX 421167, HOUSTON, TX 77242-1167
(505) 477-6358
(505) 477-6363
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NM
291U00000X
Clinical Medical Laboratory
32D0667087
NM
Other
Enumeration date
10/10/2006
Last updated
06/29/2026
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