Neurosensory Albuquerque

NPI 1043407075 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1043407075
Enumeration Date 10/03/2007
Last Updated 10/03/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BEVERLY A BEVERLY
Position CHAIRMAN
Phone (505) 296-0330
Fax (505) 292-4145
Practice Location
10601 LOMAS BLVD NE
SUITE 105
ALBUQUERQUE NM, 87112-5470, US
Phone (505) 296-0330
Fax (505) 292-4145
Business Location
10601 LOMAS BLVD NE
SUITE 105
ALBUQUERQUE NM, 87112-5470, US
Phone (505) 296-0330
Fax (505) 292-4145
Toxanomy
Taxonomy Code 291U00000X
License State New Mexico
License Number FA0073956
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According to our database, Neurosensory Albuquerque NPI is 1043407075, taxonomy code is 291U00000X and license number is FA0073956, license state is located at New Mexico. Neurosensory Albuquerque physically located at 10601 Lomas Blvd Ne, Albuquerque NM, 87112-5470. NPI Number 1033115704 has the healthcare provider type.

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1043407075 NPI number is provided on an as is basis without warranty of any kind. 1043407075 is maintained by the National Plan & Provider Enumeration System. The contents of Neurosensory Albuquerque are for informational purposes only.