# EBERHART SLEEP DIAGNOSTICS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104237981
- **Authorized official:** MR. JOHN C EBERHART RRT-SDS, RPSGT (OWNER)
- **Authorized official phone:** (949) 874-5932

## Contact information

- **Practice address:** 3751 N BUTLER AVE, SUITE 105, FARMINGTON, NM 87401-6425
- **Practice address phone:** (505) 278-8379
- **Practice address fax:** (949) 231-1430
- **Mailing address:** 3751 N BUTLER AVE, SUITE 105, FARMINGTON, NM 87401-6425
- **Mailing address phone:** (505) 278-8379
- **Mailing address fax:** (949) 231-1430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NM | Yes |

## Other

- **Enumeration date:** 05/14/2014
- **Last updated:** 07/29/2015