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Contact Information

PETROGLYPH PATHOLOGY SERVICES, LLC
640 QUANTUM RD NE
RIO RANCHO, NM87124-4506
 Phone: 505-924-0209
 Fax: 505-924-0210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for PETROGLYPH PATHOLOGY SERVICES, LLC

NPI Number 1801003231
LBN Legal business name PETROGLYPH PATHOLOGY SERVICES, LLC
Authorized official SANDRA MUELLER - (PATHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2007
Last updated 10/02/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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