OrganizationActive
Magnolia Diagnostic Center,inc
NPI 1710057740 · Clinical Medical Laboratory · Clovis, NM
Provider details
- NPI number
- 1710057740
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Ramon Gutierrez, President(509) 389-9765
Specialties & taxonomies
Laboratories
Practice location
2100 N Dr Martin Luther King Jr Blvd
Clovis, NM 88101-9412
Phone: (509) 389-9765
Fax: (505) 213-0132
Approximate (ZIP-level) locationGet directions
Mailing address
2100 N Dr Martin Luther King Jr Blvd
Clovis, NM 88101-9412
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.