Provider Demographics
NPI:1336882026
Name:REAL VIEW DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:REAL VIEW DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SKELTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DIPLOMAT EDX
Authorized Official - Phone:575-405-7197
Mailing Address - Street 1:2404 S LOCUST ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-5789
Mailing Address - Country:US
Mailing Address - Phone:575-215-1580
Mailing Address - Fax:575-215-1581
Practice Address - Street 1:900 TALBOT AVE STE H
Practice Address - Street 2:
Practice Address - City:CANUTILLO
Practice Address - State:TX
Practice Address - Zip Code:79835-5539
Practice Address - Country:US
Practice Address - Phone:915-777-3006
Practice Address - Fax:915-243-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, ClinicalGroup - Single Specialty