EBERHART SLEEP DIAGNOSTICS INC (NPI# 1104237981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104237981 |
| Entity Type | Organization |
| Organization Name | EBERHART SLEEP DIAGNOSTICS INC |
| Practice Address |
3751 N Butler Ave Suite 105 Farmington NM 87401-6425 |
| Practice Telephone | 5052788379 |
| Practice Fax Number | 9492311430 |
| Mailing Telephone | 5052788379 |
| Mailing Fax Number | 9492311430 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | MR. JOHN C EBERHART (OWNER) |
| Authorized Official Telephone | 9498745932 |
| Authorized Official Credential | RRT-SDS, RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | NM | Laboratories |
| Street Address |
3751 N BUTLER AVE SUITE 105 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-6425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730232588 | Four Corners Orthodontics Centers Inc | Dentist | 3751 N Butler Ave, Suite 113, Farmington, NM 87401-6435 | 2007-01-18 |
| 1255753976 | Dr David J Herman's Four Corners Dental, LLC | Dentist | 3751 N Butler Ave, Suite 113, Farmington, NM 87401-6425 | 2014-01-15 |
| 1073750725 | Four Corners Psychiatric Services | Psychiatry & Neurology | 3751 N Butler Ave, Ste 115, Farmington, NM 87401-6435 | 2009-01-17 |
| 1477720035 | Sage Family Medicine | Family Medicine | 3751 N Butler Ave, Farmington, NM 87401-6435 | 2008-05-13 |
| 1083888283 | Eberhart Home Health Inc | Durable Medical Equipment & Medical Supplies | 3751 N Butler Ave, Suite 107, Farmington, NM 87401-6435 | 2008-04-17 |
| 1093921512 | David Jay Herman | Dentist | 3751 N Butler Ave, Suite 113, Farmington, NM 87401-6435 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306863246 | Skaggzzz Sleep Institute, Inc. | Physiological Laboratory | 1269 Doctors Dr, Farmington, MO 63640-2947 | 2006-07-16 |
| 1700836913 | Insight-premier Health LLC | Physiological Laboratory | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326605775 | High Desert Doppler Inc. | Physiological Laboratory | 3825 Eubank Blvd Ne Ste H, Albuquerque, NM 87111-3559 | 2019-05-21 |
| 1245454073 | Vascular Diagnostic Lab | Physiological Laboratory | 3850 Foothills Rd., #3, Las Cruces, NM 88011-8268 | 2007-04-12 |
| 1063421089 | Innerface Imaging LLC | Physiological Laboratory | 8400 Osuna Blvd Ne, Suite 5c, Albuquerque, NM 87111 | 2006-08-07 |
| 1750862785 | Advanced Vascular Testing, LLC | Physiological Laboratory | 3850 E Lohman Ave Ste C, Las Cruces, NM 88011 | 2018-08-28 |
| 1356734974 | Southwest Ultrasound Services LLC | Physiological Laboratory | 3865 E Lohman Ave Ste 4, Las Cruces, NM 88011-8292 | 2015-03-05 |
| 1588904361 | Cmv Vascular Services | Physiological Laboratory | 3850 Foothills Rd, Suite 3, Las Cruces, NM 88011-4632 | 2013-02-15 |
| 1407195233 | Family Practice Associates of Taos | Physiological Laboratory | 630 Paseo Del Pueblo Sur Ste 150, Taos, NM 87571-7002 | 2013-02-14 |
| 1952585184 | Brazos Valley Cardio Respiratory | Physiological Laboratory | 141-a Mescalero Tr., Ruidoso, NM 88345 | 2007-12-24 |
| City | FARMINGTON |
| Zip Code | 87401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.