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Organization
OMNISLEEP LLC
Active
Organization
OMNISLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. 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) 843-9269
Mailing address
3810 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 843-8758
(505) 843-9269
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
NULL
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
NULL
2080S0012X
Pediatric Sleep Medicine Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
NULL
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/18/2009
Last updated
05/07/2024
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