Organization
ALETHEA LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRI BHARAT MADIREDDY PH.D. (CEO)
(561) 249-4317
Entity
Organization
Contact information
Practice address
410 E. FOSTER ROAD, LAS CRUCES, NM 88005-3209
(575) 267-6441
(575) 267-2320
Mailing address
410 E. FOSTER ROAD, LAS CRUCES, NM 88005-3209
(575) 267-6441
(575) 267-2320
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
32D2021850
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32D2021850
CLIA
—
01
—
800027351
CLINICAL LABORATORY LICENSE
FL
01
—
COB5169
MEDICARE PTAN
—
Enumeration date
05/25/2011
Last updated
05/16/2016
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