NPI | 1124142427 |
---|---|
Other Name | ST JOSEPH'S VILLA SLEEP LAB |
Entity Type | Organization |
Authorized Contact | CHRISTINE J. JOHNSON Manager, Provider Enrollment 801-442-3156 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
Enumeration Date | 2007-03-19 |
Last Update Date | 2013-12-03 |