| NPI | 1467620583 |
|---|---|
| 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 | 291U00000X Clinical Medical Laboratory |
| 291U00000X Clinical Medical Laboratory | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2011-02-03 |