NPI | 1740238591 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J LABANOWSKI Owner/Medical Director 334-673-2501 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: AL 11900) |
Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: AL 12156) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2012-02-06 |