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Magnolia Diagnostic Center,inc

NPI 1710057740ActiveOrganization· Clinical Medical Laboratory· Clovis, NM

Clinical Medical Laboratory in Clovis, New Mexico, registered in NPPES in November 2006. The authorized official on file is Ramon Gutierrez, President.

Overview

NPI1710057740
StatusActive
Entity typeOrganization
NPI issuedNov 8, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Clinical Medical Laboratory Primary291U00000X—NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other clinical laboratories in Clovis

All clinical laboratories in New Mexico