OrganizationActive
505 Diagnostics LLC
NPI 1629810486 · Clinical Psychologist · Albuquerque, NM
Provider details
- NPI number
- 1629810486
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Rebekah Hutchins Khan, Ceo/Provider
Practice location
4225 Montgomery Blvd Ne
Albuquerque, NM 87109-1103
Phone: (505) 361-1931
Fax: (505) 521-5147
Mailing address
4225 Montgomery Blvd Ne
Albuquerque, NM 87109-1103
Registry dates
- Enumerated
- 2024-06-11
- Last updated
- 2025-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.