Organization
DUKE CITY VASCULAR LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD L LOBATO (MANAGER)
(505) 884-1214
Entity
Organization
Contact information
Practice address
717 ENCINO PL NE STE 19, ALBUQUERQUE, NM 87102-2623
(505) 247-1744
(505) 247-0797
Mailing address
PO BOX 35310, ALBUQUERQUE, NM 87176-5310
(505) 247-1744
(505) 247-0797
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H1415
—
NM
Enumeration date
11/15/2006
Last updated
07/16/2009
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