| NPI | 1730550765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SODIENYE TETENTA Authorized Official 307-638-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2024-05-06 |