Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X |
| NPI # | 1477016608 |
| LBN Legal business name | SKYLARK TESTING CENTER, LLC |
| Authorized official | HOPE PEZZUTI - (MANAGING PARTNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/14/2019 |
| Last updated | 04/14/2019 - About 7 years ago |
| Identifiers | n/a |
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