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State of New Mexico — NPI 1073529624, Truth Or Consequences, NM | NPI Central

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NPI 1073529624

OrganizationActive

State of New Mexico

NPI 1073529624 · Clinical Medical Laboratory · Truth Or Consequences, NM

Provider details

NPI number: 1073529624
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Parent organization: State of New Mexico
Organization subpart: Yes
Authorized official: Marie Richter, Chief Financial Officer(575) 894-4216
License: 32D0693149 (NM)

Specialties & taxonomies

Clinical Medical LaboratoryPrimary291U00000XLicense 5087 (NM)
Laboratories
Clinical Medical Laboratory291U00000XLicense 32D0693149 (NM)
Laboratories

Practice location

992 S Broadway

Truth Or Consequences, NM 87901-3198

Phone: (575) 894-4200

Fax: (575) 894-4291

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

992 S Broadway

Truth Or Consequences, NM 87901-3198

Other names (DBA / former)

Doing business as: New Mexico State Veterans Home

Registry dates

Enumerated: 2006-08-01
Last updated: 2010-04-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.