Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X |
| NPI # | 1215211602 |
| LBN Legal business name | DIGITRACE CARE SERVICES, INC. |
| Authorized official | CARL IBERGER - (EVP-CAO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/04/2011 |
| Last updated | 04/11/2014 - About 12 years ago |
| Identifiers | n/a |
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