| NPI | 1164857603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIAMAK HEYDARIAN Owner 571-408-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: VA 0101048248) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |