New Mexico Sleep Labs
Clinic/Center, Sleep Disorder Diagnostic in Santa Fe, NM. Organization (NPI-2).
NPI number1679110530
StatusActive
Last updated in NPPESMar 24, 2022
Details
- NPI
- 1679110530
- Entity type
- Organization (NPI-2)
- Legal business name
- New Mexico Sleep Labs
- Organization subpart
- Yes
- Enumeration date
- Dec 10, 2019
- Certification date
- Mar 24, 2022
- Last updated
- Mar 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
| 207RS0012X | Internal Medicine, Sleep Medicine | – | – |
Other names
- Santa Fe Sleep Center (Doing Business As)
Practice location
1651 Galisteo St Ste 11Santa Fe, NM 87505-2113
Phone 915-779-7378 · Fax 915-779-2822
Mailing address
1016 Quinta Antigua LnEl Paso, TX 79912-2039
Phone 915-779-3778 · Fax 915-779-2822
Authorized official
Gonzalo Diaz
Owner
9157797378
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