Healthcare Provider Details

I. General information

NPI: 1134290885
Provider Name (Legal Business Name): SLEEP RECORDING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1749 ROUND UP DR NE
RIO RANCHO NM
87144-6291
US

IV. Provider business mailing address

1749 ROUND UP DR NE
RIO RANCHO NM
87144-6291
US

V. Phone/Fax

Practice location:
  • Phone: 505-349-8878
  • Fax: 505-349-8878
Mailing address:
  • Phone: 505-349-8878
  • Fax: 505-349-8878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN T ZIMMERMAN
Title or Position: OWNER AND PRESIDENT
Credential: PH.D.
Phone: 775-560-7800