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32D1095351 CLIA NUMBER - PHC-LAS CRUCES, INC DBA IMAGING CENTER OF LAS CRUCES AT MEMORIAL MEDICAL CENTER

Laboratory Demographics

CLIA Number: 32D1095351

Facility Name: PHC-LAS CRUCES, INC DBA IMAGING CENTER OF LAS CRUCES AT MEMORIAL MEDICAL CENTER

Facility Address:
160 ROADRUNNER PARKWAY
LAS CRUCES, NM
ZIP 88011
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Facility Phone Number: 575 556-1800

Facility Type: Other - HOSPITAL OUTPATIENT DEPT

Certificate Type: Waiver
NPI Number: 1164445136

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 32D1095351
LAB Type Other - HOSPITAL OUTPATIENT DEPT
Facility Name PHC-LAS CRUCES, INC DBA IMAGING CENTER OF LAS CRUCES AT MEMORIAL MEDICAL CENTER
Street 160 ROADRUNNER PARKWAY
City LAS CRUCES
State NM
ZIP 88011
Phone 575 556-1800
CertificateType 4
CertificateEffectiveDate 3/21/2024
CertificateExpirationDate 3/20/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024