Provider Demographics
NPI:1245575687
Name:APSP-EL PASO, LLC
Entity Type:Organization
Organization Name:APSP-EL PASO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-285-2732
Mailing Address - Street 1:2410 W MEMORIAL RD STE C432
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-8047
Mailing Address - Country:US
Mailing Address - Phone:405-285-2732
Mailing Address - Fax:866-953-9990
Practice Address - Street 1:1510 N ZARAGOZA RD STE B13
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7894
Practice Address - Country:US
Practice Address - Phone:405-285-2732
Practice Address - Fax:866-953-9990
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APNEA SPECIALISTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory