| NPI | 1356836480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL ALLEN STRINGFELLOW Managing Member 916-903-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: CA 201816310597) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA 201816310597) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2018-07-01 |