| NPI | 1902797822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN MCCORD President 208-914-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-11 |