Organization
INDEPENDENT DRUG TESTING AND FORENSIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON SMOCK (CEO)
(505) 255-1190
Entity
Organization
Contact information
Practice address
4213 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1103
(505) 255-1190
(505) 345-5799
Mailing address
4800 140TH AVENUE, STE 102, CLEARWATER, FL 33762-5708
(505) 255-1190
(505) 345-5799
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
12/01/2021
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