OrganizationActive
Professional Pathology Services PC
NPI 1083784177 · Anatomic Pathology & Clinical Pathology Physician · Clovis, NM
Provider details
- NPI number
- 1083784177
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Harris, President Professional Pathology Se(505) 769-7257
- License
- 2272A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2100 N Mlk Blvd
Plains Regional Medical Center
Clovis, NM 88101
Phone: (505) 769-7257
Fax: (505) 769-7243
Approximate (ZIP-level) locationGet directions
Mailing address
417 Innsdale Terrace
Clovis, NM 88101
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.