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Contact Information

505 DIAGNOSTICS LLC
4225 MONTGOMERY BLVD NE
ALBUQUERQUE, NM87109-1103
 Phone: 505-361-1931
 Fax: 505-521-5147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for 505 DIAGNOSTICS LLC · (Female)

NPI Number 1629810486
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2024
Last updated 02/04/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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