Organization
PRONTOLAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA ROBINSON (OWNER)
(915) 781-5211
Entity
Organization
Contact information
Practice address
1245 COUNTRY CLUB RD, SANTA TERESA, NM 88008-9743
(575) 332-4633
(877) 209-8941
Mailing address
1245 COUNTRY CLUB RD, SANTA TERESA, NM 88008-9743
(575) 332-4633
(877) 209-8941
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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