| NPI | 1790019461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILSON CEO 612-747-3024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Additional Taxonomies | 174400000X Specialist |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2010-06-11 |