# EQUALITYHEALTH LLC

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

## Provider details

- **NPI number:** 1942962493
- **Authorized official:** OTTA EHIMAN (LABORATORY DIRECTOR)
- **Authorized official phone:** (505) 353-6408

## Contact information

- **Practice address:** 310 OPEN RANGE AVE SW, LOS LUNAS, NM 87031-6389
- **Practice address phone:** (505) 353-6408
- **Mailing address:** 310 OPEN RANGE AVE SW, LOS LUNAS, NM 87031-6389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2021
- **Last updated:** 10/12/2021