| NPI | 1275759441 |
|---|---|
| Doing Business As | IDAHO SLEEP HEALTH |
| Entity Type | Organization |
| Authorized Contact | DONALD J BEASLEY Manager 208-463-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 174400000X Specialist (Licence: ID m9815) |
| 293D00000X Physiological Laboratory | |
| 177F00000X Lodging | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-02-03 |