Magnolia Diagnostic Center,Inc
Magnolia Diagnostic Center,Inc is a healthcare organization registered as Clinical Medical Laboratory in Clovis, NM, holding Type 2 (organization) NPI 1710057740 since 2006. The authorized official on file is Ramon Gutierrez, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710057740 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Magnolia Diagnostic Center,Inc |
| Practice address | 2100 N DR MARTIN LUTHER KING JR BLVD, Clovis, NM, 88101 |
| Phone | 5093899765 |
| Fax | 5052130132 |
| Enumeration date | 2006-11-08 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Ramon Gutierrez |
|---|---|
| Title | President |
| Phone | 5093899765 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | NM |
Copy-ready billing details
Provider: Magnolia Diagnostic Center,Inc NPI: 1710057740 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 2100 N DR MARTIN LUTHER KING JR BLVD, Clovis, NM, 88101
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063411734 | Ronald Rogers | Individual | Certified Registered Nurse Anesthetist | Clovis, NM |
| 1730188426 | Royce E. Jones & John D. Caley Ptr | Organization | Certified Registered Nurse Anesthetist | Clovis, NM |
| 1457353989 | Kenneth Yeager | Individual | Certified Registered Nurse Anesthetist | Clovis, NM |
| 1154351369 | Rob Kamermans | Individual | Family Medicine Physician | Clovis, NM |
| 1053440933 | Donna Thibodeau | Individual | Internal Medicine Physician | Clovis, NM |
| 1932403516 | Hni Services Inc | Organization | Internal Medicine Physician | Clovis, NM |
| 1417246539 | South Sound Inpatient Physicians, Pllc | Organization | Hospitalist Physician | Clovis, NM |
| 1215349626 | Lorena Kroeger | Individual | Family Nurse Practitioner | Clovis, NM |
Verify this record
Cross-check NPI 1710057740 against the authoritative CMS record: view Magnolia Diagnostic Center,Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Magnolia Diagnostic Center,Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.