Active NPI
Rio Grande Fna
- Cytopathology Physician
- Corrales, NM
National Provider Identifier
1124790357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- Legal business name
- RIO GRANDE FNA
- Practice address
- 2469 Corrales Rd
BLDG a, Ste B
Corrales, NM 87048 - Phone
- (505) 271-2416
- NPI assigned
- Oct 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Rowe
- Title
- Manager
- Phone
- (505) 962-0577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | Primary |
Addresses
Primary practice location
2469 Corrales Rd
BLDG a, Ste B
Corrales, NM 87048
Mailing address
1278 Camino Hermosa
Corrales, NM 87048-8653
National Provider Directory
National Provider DirectoryLocations
2469 Corrales Rd
Ste B
Corrales, NM 87048
Phone (505) 271-2416
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Rio Rancho, NM
- NPI 1205912441
Cytopathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1124790357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1278 CAMINO HERMOSA",
"city": "CORRALES",
"state": "NM",
"postal_code": "870488653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2469 CORRALES RD",
"address_2": "BLDG A, STE B",
"city": "CORRALES",
"state": "NM",
"postal_code": "87048",
"telephone_number": "505-271-2416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIO GRANDE FNA",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A",
"authorized_official_last_name": "ROWE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "505-962-0577"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.