Organization
MESILLA VALLEY SLEEP LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO ZAMORA RRT (CLININCAL MANAGER)
(575) 647-5337
Entity
Organization
Contact information
Practice address
1155 COMMERCE DR, SUITE G, LAS CRUCES, NM 88011-8257
(575) 532-7000
(575) 532-7006
Mailing address
1155 COMMERCE DR STE G, LAS CRUCES, NM 88011-8257
(575) 647-5337
(575) 647-5338
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM007G71
BLUE CROSS BLUE SHIELD
NM
01
—
95316
PRESBYTERIAN HEALTH PLAN
NM
Enumeration date
08/15/2006
Last updated
01/13/2012
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