Organization · NPI-2
Digitrace Care Services, INC
Clinic/Center, Sleep Disorder Diagnostic · Waco, TX
NPI number1093745747
StatusActive
Last updated in NPPESOct 15, 2009
Details
- NPI
- 1093745747
- Entity type
- Organization (NPI-2)
- Legal business name
- Digitrace Care Services, INC
- Organization subpart
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Oct 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
2060 N Valley Mills DrWaco, TX 76710-2561
Phone 254-741-0455 · Fax 254-741-6968
Mailing address
200 Corporate PlSuite 5b
Peabody, MA 01960-3840
Phone 978-536-7400 · Fax 978-535-9757
Authorized official
Carl R. Iberger
Evp,cfo
9785367400
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