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NPI Code Detail

MEDICARE: SPARTAN SLEEP STUDIES

MEDICARE: SPARTAN SLEEP STUDIES
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 : 1871570887
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPARTAN SLEEP STUDIES
Provider Business Mailing Address
First Line : 230 W 1ST ST
Second Line : #309
City : MOUNTAIN VIEW
State : MO
Zip : 65548
Country : US
Telephone Number : 417-934-1711
Fax Number : 417-934-1745
Provider Business Practice Location Address
First Line : 508-3 W HWY 60
Second Line :
City : MOUNTAIN VIEW
State : MO
Zip : 65548
Country : US
Telephone Number : 417-934-1711
Fax Number : 417-934-1745
Authorized Official
Title or Position : MANAGER CEO
Name : MRS. MIRIAM E JOHNSON
Credential : RRT NPS BS
Telephone Number : 417-934-1711
Provider Enumeration Date : 12/30/2005
Last Update Date : 08/22/2020

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Directions to “SPARTAN SLEEP STUDIES ” Practice Location

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