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NPI Code Detail

MEDICARE: SLEEP ANALYST INC

MEDICARE: SLEEP ANALYST 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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00103042OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1634111OTHERMOHEALTHLINK
3155201OTHERMOBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1538279963
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP ANALYST INC
Provider Business Mailing Address
First Line : 812 LESTER ST STE A
Second Line :
City : KENNETT
State : MO
Zip : 63857-1615
Country : US
Telephone Number : 573-888-6600
Fax Number : 573-888-6655
Provider Business Practice Location Address
First Line : 1417 N MOUNT AUBURN RD STE C
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-2171
Country : US
Telephone Number : 573-334-9095
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MRS. BECKY CHRISTAIN
Credential :
Telephone Number : 573-888-6600
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/21/2008

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Directions to “SLEEP ANALYST INC ” Practice Location

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