| NPI | 1740238427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE MOSELEY Vice President 719-262-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: CO 20051285117) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 174400000X Specialist | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-11-06 |