IndividualActive
Ron Smock
NPI 1407411762 · Clinical Medical Laboratory · Albuquerque, NM
Provider details
- NPI number
- 1407411762
- Entity type
- Individual
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Sex
- Male
- Sole proprietor
- Yes
- License
- 32D-0000011 (NM)
Specialties & taxonomies
Laboratories
Practice location
4213 Montgomery Blvd Ne
Albuquerque, NM 87109-1103
Phone: (505) 255-1090
Fax: (595) 345-5799
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 95708
Albuquerque, NM 87199-5708
Registry dates
- Enumerated
- 2019-05-02
- Last updated
- 2019-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.