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NPI Code Detail

MEDICARE: AMERICAN HOME DIAGNOSTICS INC

MEDICARE: AMERICAN HOME DIAGNOSTICS INC
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
1261QS1200XSleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number : 1356770952
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN HOME DIAGNOSTICS INC
Provider Business Mailing Address
First Line : 7575 N CEDAR AVE
Second Line : 103
City : FRESNO
State : CA
Zip : 93720-2693
Country : US
Telephone Number : 559-916-4433
Fax Number : 888-666-8426
Provider Business Practice Location Address
First Line : 7575 N CEDAR AVE
Second Line : 103
City : FRESNO
State : CA
Zip : 93720-2693
Country : US
Telephone Number : 559-916-4433
Fax Number : 888-666-8426
Authorized Official
Title or Position : SOLE MBR
Name : JANET BAILEY
Credential :
Telephone Number : 559-916-4433
Provider Enumeration Date : 11/04/2013
Last Update Date : 09/17/2014

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Directions to “AMERICAN HOME DIAGNOSTICS INC ” Practice Location

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