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PETROGLYPH PATHOLOGY SERVICES LLC NPI 1033501747


NPI Information

NPI: 1033501747
Provider Name: PETROGLYPH PATHOLOGY SERVICES LLC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 32D2001120

Address:
640 QUANTUM RD NE
RIO RANCHO, NM
ZIP 87124
Phone: (505) 924-0209
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PETROGLYPH PATHOLOGY SERVICES LLC is an anatomic pathology and clinical pathology pathology in Rio Rancho, NM. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. PETROGLYPH PATHOLOGY SERVICES LLC NPI is 1033501747. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

640 QUANTUM RD NE
RIO RANCHO, NM
ZIP 87124-506
Phone: (505) 924-0209

The provider's authorized official is David Rowe .
The authorized official title is Lab Manager and has the following contact phone number (505) 924-0209.

The CLIA number assigned to this NPI record is 32D2001120 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/4/2015 and was last updated on 4/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology2002-0204NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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