NPI | 1285786277 |
---|---|
Former Legal Business Name | PHOENIX SLEEP, LLC |
Entity Type | Organization |
Authorized Contact | MARC FEDOR CFO 480-282-6512 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: AZ 3424) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-31 |