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State of New Mexico — NPI 1407057607, Las Vegas, NM | NPI Central

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NPI 1407057607

OrganizationActive

State of New Mexico

NPI 1407057607 · Clinical Medical Laboratory · Las Vegas, NM

Provider details

NPI number: 1407057607
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Organization subpart: No
Authorized official: Charles Jaramillo, Finance Director(505) 454-2306
License: 32D0653275 (NM)

Specialties & taxonomies

Clinical Medical LaboratoryPrimary291U00000XLicense 32D0653275 (NM)
Laboratories

Practice location

3695 Hot Springs Blvd

Las Vegas, NM 87701-9549

Phone: (505) 454-2100

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

3695 Hot Springs Blvd

Las Vegas, NM 87701-9549

Other names (DBA / former)

Doing business as: New Mexico Behavioral Health Institue at Las Vegas

Registry dates

Enumerated: 2007-05-29
Last updated: 2009-04-30

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