Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X |
| NPI Number | 1154661841 |
| LBN Legal business name | AVALON DIAGNOSTICS LLC |
| Authorized official | CHANDRA MCKENZIE - (BILLING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/18/2013 |
| Last updated | 02/18/2013 - About 13 years ago |
| Identifiers | n/a |
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