| NPI | 1265518005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA KING Auditor/Collector 571-281-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: VA 1234748) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: VA 107828) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-03-03 |