Organization
AIDMED INC
Active
Other names
pathology consultants of new mexico
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L GRAY M.D. (PRESIDENT)
(877) 895-8303
Entity
Organization
Contact information
Practice address
600 N RICHARDSON AVE, ROSWELL, NM 88201-4828
(877) 895-8303
Mailing address
11490 BURBANK BLVD, STE 1D, NORTH HOLLYWOOD, CA 91601-2389
(877) 895-8303
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
32D0537453
CA
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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