Organization
PAUL E WALSKY
Active
Other names
Northern New Mexico Vascular Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E WALSKY MD (OWNER)
(505) 982-8482
Entity
Organization
Contact information
Practice address
531 HARKLE RD STE A-2, SANTA FE, NM 87505-4753
(505) 982-8482
(505) 983-1899
Mailing address
531 HARKLE RD STE A-2, SANTA FE, NM 87505-4753
(505) 982-8482
(505) 983-1899
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
78283
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13017718
RAILROAD MEDICARE
NM
05
—
54528
—
NM
01
—
NM007849
BCBS NM
NM
Enumeration date
01/04/2007
Last updated
06/17/2008
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