Organization · NPI-2
A Home Sleep Testing
Clinic/Center, Sleep Disorder Diagnostic · Jesup, IA
NPI number1104193481
StatusActive
Last updated in NPPESNov 30, 2011
Details
- NPI
- 1104193481
- Entity type
- Organization (NPI-2)
- Legal business name
- A Home Sleep Testing
- Organization subpart
- No
- Enumeration date
- Nov 30, 2011
- Last updated
- Nov 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
Practice location
1081 280th St7
Jesup, IA 50648-9252
Phone 319-827-2194 · Fax 319-827-2037
Mailing address
1081 280th St7
Jesup, IA 50648-9252
Phone 319-827-2194 · Fax 319-827-2037
Authorized official
Sarah Youngblut
Owner
3198272194
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