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Organization
EQUALITYHEALTH LLC
Active
Organization
EQUALITYHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTTA EHIMAN (LABORATORY DIRECTOR)
(505) 353-6408
Entity
Organization
Contact information
Practice address
310 OPEN RANGE AVE SW, LOS LUNAS, NM 87031-6389
(505) 353-6408
Mailing address
310 OPEN RANGE AVE SW, LOS LUNAS, NM 87031-6389
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
NULL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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