OMNISLEEP LLC NPI 1508093469

NPI Information

NPI: 1508093469
Provider Name: OMNISLEEP LLC
Classification: Clinic/Center - 261QS1200X
Specialization: Sleep Disorder Diagnostic
Entity Type: Organization
Address: 3810 MASTHEAD ST NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 843-8758

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NPI Details

OMNISLEEP LLC is a sleep disorder diagnostic clinic center in Albuquerque, NM. OMNISLEEP LLC NPI is 1508093469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3810 MASTHEAD ST NE
ALBUQUERQUE, NM
ZIP 87109-479
Phone: (505) 843-8758
Fax: (505) 843-9269

The provider's authorized official is John Craig Eaves .
The authorized official title is Ceo and has the following contact phone number (505) 843-8758.

The enumeration date for this NPI number is 6/18/2009 and was last updated on 5/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207QS1201X	Family Medicine	Sleep Medicine	No
2	207R00000X	Internal Medicine		No
3	207RS0012X	Internal Medicine	Sleep Medicine	No
4	2080S0012X	Pediatrics	Sleep Medicine	No
5	208D00000X	General Practice		No
6	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	Yes
7	363AM0700X	Physician Assistant	Medical	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95877321	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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