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Organization
OMNISLEEP LLC
Active
Organization
OMNISLEEP LLC
Active
Other names
OmniSleep
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CRAIG EAVES (CEO)
(505) 843-8758
Entity
Organization
Contact information
Practice address
3810 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 843-8758
(505) 843-8759
Mailing address
3810 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 843-8758
(505) 843-8759
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
NULL
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
227800000X
Certified Respiratory Therapist
—
NULL
227800000X
Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
—
NULL
227900000X
Registered Respiratory Therapist
—
—
246Z00000X
Other Specialist/Technologist
—
NULL
246Z00000X
Other Specialist/Technologist
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
10/10/2005
Last updated
06/10/2020
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