Healthcare Provider Details

I. General information

NPI: 1568348035
Provider Name (Legal Business Name): AUTHORIZED PULMONARY TESTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ALAMEDA RD NW
ALBUQUERQUE NM
87114-2228
US

IV. Provider business mailing address

PO BOX 10295
ALBUQUERQUE NM
87184-0295
US

V. Phone/Fax

Practice location:
  • Phone: 505-269-7882
  • Fax: 505-898-6930
Mailing address:
  • Phone: 505-269-7882
  • Fax: 505-898-6930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225B00000X
TaxonomyPulmonary Function Technologist
License Number
License Number State

VIII. Authorized Official

Name: AMY SWAPP
Title or Position: MEMBER
Credential:
Phone: 505-269-7882