Healthcare Provider Details
I. General information
NPI: 1205667862
Provider Name (Legal Business Name): APEX DRUG & ALCOHOL TESTING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2024
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
174 HOSPITAL DR # USA
RATON NM
87740-2002
US
IV. Provider business mailing address
6721 SEVILLE PL NW
ALBUQUERQUE NM
87120-3034
US
V. Phone/Fax
- Phone: 505-800-9573
- Fax: 505-897-8764
- Phone: 505-800-9573
- Fax: 505-897-8764
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARLES
BARKLEY
Title or Position: CEO/PIC
Credential: RPH
Phone: 505-800-9573