| NPI | 1669888657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHANE MOBLEY President 855-228-4597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-02-02 |