Provider Demographics
NPI:1669858700
Name:NEX STEP, INC.
Entity Type:Organization
Organization Name:NEX STEP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:AL
Authorized Official - Last Name:BRUNS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-501-2038
Mailing Address - Street 1:518 OLD SANTA FE TRL
Mailing Address - Street 2:SUITE 1, PMB 220
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-0398
Mailing Address - Country:US
Mailing Address - Phone:505-501-2038
Mailing Address - Fax:
Practice Address - Street 1:518 OLD SANTA FE TRL
Practice Address - Street 2:SUITE 1, PMB 220
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-0398
Practice Address - Country:US
Practice Address - Phone:505-501-2038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory