| NPI | 1508118183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALLEN ELDER Owner/Secretary 319-530-3168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |