Diagnostic Sleep Disorder
Clinic/Center, Sleep Disorder Diagnostic in Wise, VA. Organization (NPI-2).
NPI number1023043866
StatusActive
Last updated in NPPESFeb 13, 2012
Details
- NPI
- 1023043866
- Entity type
- Organization (NPI-2)
- Legal business name
- Diagnostic Sleep Disorder
- Organization subpart
- No
- Enumeration date
- Jul 11, 2006
- Last updated
- Feb 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | 0101031388 | VA | Yes |
Practice location
422 Main StreetWise, VA 24293
Phone 276-328-1006 · Fax 276-628-8246
Mailing address
320 East Valley StreetAbingdon, VA 24210
Authorized official
Emory Robinette
Doctor
2766281106
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