Luminosity Headquarters
Clinic/Center, Corporate Health in Farmington, NM. Organization (NPI-2).
NPI number1871101162
StatusActive
Last updated in NPPESMar 2, 2022
Details
- NPI
- 1871101162
- Entity type
- Organization (NPI-2)
- Legal business name
- Luminosity Headquarters
- Organization subpart
- No
- Enumeration date
- Jul 22, 2020
- Certification date
- Mar 2, 2022
- Last updated
- Mar 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QC1800X | Clinic/Center, Corporate Health | – | – | Yes |
Other names
- Cognitive Fitness Studio (Doing Business As)
Practice location
108 N Behrend Ave Ste EFarmington, NM 87401-8418
Phone 620-391-8120
Mailing address
108 N Behrend Ave Ste EFarmington, NM 87401-8418
Phone 620-391-8120
Authorized official
Lonnie Whitaker
Business Owner
6203918120
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