| NPI | 1043516594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIZAN A HAJAL President 605-271-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: SD 10580) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2018-03-27 |