VIP STARNETWORK, LLC is a medical specialty clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). VIP STARNETWORK, LLC NPI is 1104442698. The provider is registered as an organization entity type.
The provider's business location address is:
4904 ALAMEDA BLVD NE STE B
ALBUQUERQUE, NM
ZIP 87113-385
Phone: (505) 389-2279
Fax: (505) 212-0553
The provider's authorized official is Johonniuss H Chemweno .
The authorized official title is Ceo and has the following contact phone number (505) 389-2279.
The CLIA number assigned to this NPI record is 31D2264542 - mobile laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/19/2020 and was last updated on 6/19/2020.