Organization
CLINICAL TESTING LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEFAN ALFRED LONG CORP AGENT OF RECORD (QUALITY MANAGER)
(575) 646-3465
Entity
Organization
Contact information
Practice address
3655 RESEARCH DR, MSC3ARP, BOX 30001, LAS CRUCES, NM 88003-1239
(575) 646-3465
(575) 646-6060
Mailing address
3655 RESEARCH DR, MSC3ARP, BOX 30001, LAS CRUCES, NM 88003-1239
(575) 646-3465
(575) 646-6060
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
32D1086620
NM
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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