OrganizationActive
Indian Health Service- Jicarilla Service Unit
NPI 1477628659 · Clinical Medical Laboratory · Dulce, NM
Provider details
- NPI number
- 1477628659
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jim Sutton, Ceo(505) 759-3291
Specialties & taxonomies
Laboratories
Practice location
12000 Stone Lake Drive
Dulce, NM 87528-0187
Phone: (505) 759-3291
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 804
Dulce, NM 87528-0804
Registry dates
- Enumerated
- 2006-11-22
- 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.