Organization
TRICORE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLA WATT (CHIEF FINANCIAL OFFICER)
(505) 573-4288
Entity
Organization
Contact information
Practice address
1001 WOODWARD PL NE, ALBUQUERQUE, NM 87102-2705
(505) 938-8888
(505) 938-8833
Mailing address
1001 WOODWARD PL NE, ALBUQUERQUE, NM 87102-2705
(505) 938-8888
(505) 938-8833
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/15/2021
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