| NPI | 1942223326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN HALL Licensing 317-706-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-03-23 |