Provider Demographics
NPI:1316135957
Name:SLEEP DIAGNOSTIC CENTERS OF NEW
Entity type:Organization
Organization Name:SLEEP DIAGNOSTIC CENTERS OF NEW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHECHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:575-624-2095
Mailing Address - Street 1:PO BOX 2055
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88202-2055
Mailing Address - Country:US
Mailing Address - Phone:575-624-2095
Mailing Address - Fax:575-627-5721
Practice Address - Street 1:1717 W 2ND ST STE 172
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201-2027
Practice Address - Country:US
Practice Address - Phone:575-627-3319
Practice Address - Fax:575-622-1720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty