| NPI | 1780012815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL CABRAL Coordinator 410-428-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2014-04-23 |