| Organization Name: | SOUTHWEST DIAGNOSTIC SERVICES, LLC |
| NPI Number: | 1073755419 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IVAN ARMANDO MENDOZA (MANAGER) |
| Mailing Address: | 420 Heffernan Ave Suite D Calexico |
| State: | CA US |
| Postal Code: | 922314718 |
| Phone Number: | 7604604022 |
| Fax Number: | 7604604371 |
| NPI Enumeration Date: | 03/31/2009 |
| NPI Last Update Date: | 03/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |