| NPI | 1194727941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN IRENE BLOCK Administrator 262-241-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-02-22 |