Applied Express Services LLC
Internal Medicine, Cardiovascular Disease in Albuquerque, NM. Organization (NPI-2).
NPI number1780109439
StatusActive
Last updated in NPPESMar 19, 2018
Details
- NPI
- 1780109439
- Entity type
- Organization (NPI-2)
- Legal business name
- Applied Express Services LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2017
- Last updated
- Mar 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | NM | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | NM |
Other names
- Fast Forward (Doing Business As)
Practice location
239 Elm St NeAlbuquerque, NM 87102-3672
Phone 619-606-4774
Mailing address
Po Box 67645Albuquerque, NM 87193-7645
Phone 619-606-4774
Authorized official
Mehdy Mirin
Ceo/President
6196064774
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