NPI | 1790720662 |
---|---|
Entity Type | Organization |
Authorized Contact | TERI LYNN JAMISON Gove RN Ment Compliance Manager 480-446-9010 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: NM 03-001252-00-0) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2010-03-09 |