NEW MEXICO NEURODIAGNOSTICS, LLC (NPI# 1497102172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497102172 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO NEURODIAGNOSTICS, LLC |
| Practice Address |
150 Washington Ave. Ste. #201-220, Office 224 Santa Fe NM 87501 |
| Mailing Address |
4545 Fuller Dr Suite 100 Irving TX 75038-6530 |
| Practice Telephone | 5058190140 |
| Practice Fax Number | 8662794704 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | CONOR BUTTS (PRESIDENT AND COO) |
| Authorized Official Telephone | 4699958416 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE FAMILY OF COMPANIES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
150 WASHINGTON AVE. STE. #201-220, OFFICE 224 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| 1346485695 | Carla Kleefeld | Counselor | 650a Santa Fe Trail, Santa Fe, NM 87501 | 2008-12-15 |
| Find all providers in zip 87501 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326605775 | High Desert Doppler Inc. | Physiological Laboratory | 3825 Eubank Blvd Ne Ste H, Albuquerque, NM 87111-3559 | 2019-05-21 |
| 1245454073 | Vascular Diagnostic Lab | Physiological Laboratory | 3850 Foothills Rd., #3, Las Cruces, NM 88011-8268 | 2007-04-12 |
| 1063421089 | Innerface Imaging LLC | Physiological Laboratory | 8400 Osuna Blvd Ne, Suite 5c, Albuquerque, NM 87111 | 2006-08-07 |
| 1750862785 | Advanced Vascular Testing, LLC | Physiological Laboratory | 3850 E Lohman Ave Ste C, Las Cruces, NM 88011 | 2018-08-28 |
| 1356734974 | Southwest Ultrasound Services LLC | Physiological Laboratory | 3865 E Lohman Ave Ste 4, Las Cruces, NM 88011-8292 | 2015-03-05 |
| 1104237981 | Eberhart Sleep Diagnostics Inc | Physiological Laboratory | 3751 N Butler Ave, Suite 105, Farmington, NM 87401-6425 | 2014-05-14 |
| 1588904361 | Cmv Vascular Services | Physiological Laboratory | 3850 Foothills Rd, Suite 3, Las Cruces, NM 88011-4632 | 2013-02-15 |
| 1407195233 | Family Practice Associates of Taos | Physiological Laboratory | 630 Paseo Del Pueblo Sur Ste 150, Taos, NM 87571-7002 | 2013-02-14 |
| 1952585184 | Brazos Valley Cardio Respiratory | Physiological Laboratory | 141-a Mescalero Tr., Ruidoso, NM 88345 | 2007-12-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.