Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA MARY ALONZO, RT LAB TECH
Deactivated Sole ProprietorTHERESA MARY ALONZO, RT LAB TECH is a Clinical Medical Laboratory healthcare provider located in DULCE, New Mexico. NPI 1730262783 is deactivated in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · DULCE, NM
This NPI has been deactivated.
The record was deactivated on July 17, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1730262783
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2006 (0.73150684931507 yrs)
- Last Updated
- Jul 21, 2022
- Deactivated
- Jul 17, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
12000 STONE LAKE ROADDULCE, NM, 875280187Browse NM providers · Browse ZIP 87528
- Phone
- 5057593291
- Fax
- 5057593532
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.