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NPI Code Detail

MEDICARE: SLEEP DISORDER DIAGNOSTIC CENTER, LLC

MEDICARE: SLEEP DISORDER DIAGNOSTIC CENTER, 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
1291U00000XClinical Medical Laboratory156756CO

General Provider Information

NPI Number : 1649455460
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP DISORDER DIAGNOSTIC CENTER, LLC
Provider Business Mailing Address
First Line : 2323 S TROY ST
Second Line : 4-100
City : AURORA
State : CO
Zip : 80014-1946
Country : US
Telephone Number : 303-696-2426
Fax Number : 303-696-2436
Provider Business Practice Location Address
First Line : 2323 S TROY ST
Second Line : 4-100
City : AURORA
State : CO
Zip : 80014-1946
Country : US
Telephone Number : 303-696-2426
Fax Number : 303-696-2436
Authorized Official
Title or Position : PRESIDENT
Name : MRS. VALENTINA SHERMAN
Credential :
Telephone Number : 303-696-2426
Provider Enumeration Date : 12/31/2007
Last Update Date : 08/10/2011

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Directions to “SLEEP DISORDER DIAGNOSTIC CENTER, LLC ” Practice Location

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