East Idaho Center for Sleep LLC
NPI #1548561129 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1548561129
- Entity Type
- Organization
- Organization Name
- East Idaho Center for Sleep LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Nov 12, 2010
- Last Updated
- Nov 12, 2010
Practice Location
- Address
- 1341 EAST 17TH STREET
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 523-7246
Authorized Official
- Name
- DODIE R NOLES
- Title
- MEMBER
- Phone
- (541) 646-0858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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