| NPI | 1962570358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY JOHN REUTZEL Owner 319-365-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-01-06 |