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
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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