Organization
SOUTHWEST DIAGNOSTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN ARMANDO MENDOZA PSGT, EMT-P (MANAGER)
(760) 562-7827
Entity
Organization
Contact information
Practice address
420 HEFFERNAN AVE, SUITE D, CALEXICO, CA 92231-4718
(760) 460-4022
(760) 460-4371
Mailing address
302 E 3RD ST, P.O. BOX 31-411, CALEXICO, CA 92231-2760
(760) 460-4022
(760) 460-4371
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2009
Last updated
03/10/2010
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