Southwest Diagnostic Services, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SOUTHWEST DIAGNOSTIC SERVICES, LLC

Practice address

420 Heffernan Ave
Suite D
Calexico, CA 92231-4718

Phone

(760) 460-4022

Fax

(760) 460-4371

NPI assigned

Mar 31, 2009

Last updated

Mar 10, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivan Armando Mendoza, PSGT, EMT-PNPI 1851532766

Title

Manager

Phone

(760) 562-7827

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivan Armando Mendoza, EMT-P, PSGT

  • Other Technician
  • Calexico, CA
  • NPI 1851532766
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1073755419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E 3RD ST",
            "address_2": "P.O. BOX 31-411",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312760",
            "telephone_number": "760-460-4022",
            "fax_number": "760-460-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HEFFERNAN AVE",
            "address_2": "SUITE D",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314718",
            "telephone_number": "760-460-4022",
            "fax_number": "760-460-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "ARMANDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-562-7827",
        "authorized_official_credential": "PSGT, EMT-P"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyam Ullal,PT a Prof.Corp (Frontier Worker Fitness & Therapy Sevices)
• Cassandra Sillas, RN
• Serinna Singh, PHARMD
• Ratansinh Mansinh Solanki
• Soluhealth Healthcare, Inc.
• Southwest Rehab Specialist
• SSB RX Inc (Calexico Farmacia)
• Star Marketing, LLC
• Sergio Stone, MD
• Carlos Suarez, DN

• Sleep Disorder Diagnostic Clinic/Center in Calexico, CA
• Providers in Calexico, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.