Healthcare Provider Details

I. General information

NPI: 1952326332
Provider Name (Legal Business Name): MIDWEST SLEEP SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 12/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 PARK LN SUITE 400
WATERLOO IA
50702-5236
US

IV. Provider business mailing address

527 PARK LN SUITE 400
WATERLOO IA
50702-5236
US

V. Phone/Fax

Practice location:
  • Phone: 319-233-2278
  • Fax:
Mailing address:
  • Phone: 319-233-2278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN ELDER
Title or Position: VICE-PRESIDENT
Credential: RRT
Phone: 319-530-3168