Active NPI
Eberhart Sleep Diagnostics Inc
- Physiological Laboratory
- Farmington, NM
National Provider Identifier
1104237981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- EBERHART SLEEP DIAGNOSTICS INC
- Practice address
- 3751 N Butler Ave
Suite 105
Farmington, NM 87401-6425 - Phone
- (505) 278-8379
- Fax
- (949) 231-1430
- NPI assigned
- May 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John C Eberhart, RRT-SDS, RPSGT
- Title
- Owner
- Phone
- (949) 874-5932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | NM | Primary |
Addresses
Primary practice location
3751 N Butler Ave
Suite 105
Farmington, NM 87401-6425
Mailing address
3751 N Butler Ave
Suite 105
Farmington, NM 87401-6425
Phone (505) 278-8379
National Provider Directory
National Provider DirectoryLocations
3751 N Butler Ave
Ste 105
Farmington, NM 87401
Phone (505) 278-8379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438128000000",
"number": "1104237981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3751 N BUTLER AVE",
"address_2": "SUITE 105",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016425",
"telephone_number": "505-278-8379",
"fax_number": "949-231-1430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 N BUTLER AVE",
"address_2": "SUITE 105",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016425",
"telephone_number": "505-278-8379",
"fax_number": "949-231-1430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EBERHART SLEEP DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-14",
"last_updated": "2015-07-29",
"status": "A",
"authorized_official_last_name": "EBERHART",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-874-5932",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RRT-SDS, RPSGT"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.