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) |
177F00000X Lodging | |
291U00000X Clinical Medical Laboratory | |
293D00000X Physiological Laboratory | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2011-02-03 |