| NPI | 1265043897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICK TIPNES CEO 813-831-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-08-31 |