Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1184775074 |
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| LBN Legal business name | ADVANCED SLEEP CENTER, INC | ||||
| Authorized official | SIMIN MIRTAHERI - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/16/2007 | ||||
| Last updated | 05/18/2016 - About 10 years ago | ||||
| Identifiers |
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