| New Mexico Neurodiagnostics, Llc | |
|
150 Washington Ave. Ste. #201-220, Office 224 Santa Fe NM 87501 | |
| (505) 819-0140 | |
| (866) 279-4704 |
| Full Name | New Mexico Neurodiagnostics, Llc |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 150 Washington Ave., Santa Fe, New Mexico |
| Authorized Official Name and Position | Conor Butts (PRESIDENT AND COO) |
| Authorized Official Contact | 4699958416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Neurodiagnostics, Llc 4545 Fuller Dr Suite 100 Irving TX 75038-6530 Ph: () - | New Mexico Neurodiagnostics, Llc 150 Washington Ave. Ste. #201-220, Office 224 Santa Fe NM 87501 Ph: (505) 819-0140 |
| NPI Number | 1497102172 |
|---|---|
| Provider Enumeration Date | 05/23/2016 |
| Last Update Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497102172 | NPI | - | NPPES |
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