Provider Demographics
NPI:1164820650
Name:DIAGNOSTIC RESPIRATORY EVALUATIONS APNEA MONITORING SERVICES, LLC
Entity Type:Organization
Organization Name:DIAGNOSTIC RESPIRATORY EVALUATIONS APNEA MONITORING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED RESPIRATORY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:CRT, RRT
Authorized Official - Phone:619-274-3578
Mailing Address - Street 1:333 H ST
Mailing Address - Street 2:SUITE 5000
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-5555
Mailing Address - Country:US
Mailing Address - Phone:619-274-3578
Mailing Address - Fax:619-550-3626
Practice Address - Street 1:333 H ST
Practice Address - Street 2:SUITE 5000
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-5555
Practice Address - Country:US
Practice Address - Phone:619-274-3578
Practice Address - Fax:619-550-3626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27927261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic