| NPI | 1326116013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA R ROGGE Manager 785-537-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: KS 118145) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: KS 118145-Medicare Cert) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 118150BCBS) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-02-08 |