Organization
SANTA FE PATHOLOGY SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT CLARK ANDERSON M.D. (PRESIDENT)
(505) 820-5399
Entity
Organization
Contact information
Practice address
455 ST MICHAELS DRIVE, SANTA FE, NM 87505-7621
(505) 986-8620
(505) 820-2461
Mailing address
465 ST MICHAELS DRIVE, SUITE 115, SANTA FE, NJ 87505-7621
(505) 986-8620
(505) 820-2461
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NM
291U00000X
Clinical Medical Laboratory
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051984
—
NM
Enumeration date
10/10/2006
Last updated
04/20/2008
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