Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1306855291 |
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| LBN Legal business name | DIGITRACE CARE SERVICES INC | ||||||||||||
| Authorized official | CARL IBERGER - (EVP-CFO) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 08/07/2006 | ||||||||||||
| Last updated | 01/20/2010 - About 16 years ago | ||||||||||||
| Identifiers |
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