Healthcare Provider Details

I. General information

NPI: 1437025582
Provider Name (Legal Business Name): SOUTHWEST LIFT INSTALLATION, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 JUAN TABO BLVD NE STE B
ALBUQUERQUE NM
87123-3008
US

IV. Provider business mailing address

315 JUAN TABO BLVD NE STE B
ALBUQUERQUE NM
87123-3008
US

V. Phone/Fax

Practice location:
  • Phone: 505-891-3346
  • Fax: 505-994-4977
Mailing address:
  • Phone: 505-891-3346
  • Fax: 505-994-4977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RENEE KIRKLAND
Title or Position: OWNER
Credential:
Phone: 505-891-3346