| NPI | 1952849499 |
|---|---|
| Doing Business As | MODESTO SLEEP CENTER DIAGNOSTIC |
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE EWERT CEO 209-523-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2024-03-19 |