| NPI | 1629303516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E. LAVIN Officer / Director 985-875-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2012-05-03 |