Organization
PATHOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L LOPEZ M.D. (PATHOLOGIST)
(505) 521-2203
Entity
Organization
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(505) 521-2203
(505) 521-5558
Mailing address
205 W BOUTZ RD BLDG 1, LAS CRUCES, NM 88005-3259
(575) 532-7000
(575) 532-7025
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
NM7982
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1D191
—
NM
Enumeration date
06/25/2006
Last updated
01/30/2018
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