MEDICARE: EPOCH SLEEP CONSULTING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1356571640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPOCH SLEEP CONSULTING, LLC

Provider Business Mailing Address
First Line	:	P.O. BOX 600
Second Line	:	3379 PITTSBURGH ROAD SUITE 109
City	:	PERRYOPOLIS
State	:	PA
Zip	:	15473-1013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3379 PITTSBURGH ROAD.
Second Line	:	SUITE 109
City	:	PERRYOPOLIS
State	:	PA
Zip	:	15473-1013
Country	:	US
Telephone Number	:	724-736-0160
Fax Number	:	724-736-0163

Authorized Official
Title or Position	:	OWNER
Name	:	ANN MARIE MCKNIGHT
Credential	:	RPSGT
Telephone Number	:	724-350-7315

Provider Enumeration Date	:	07/21/2009
Last Update Date	:	02/04/2010

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