Organization · NPI-2
Bja Incorporated
Clinic/Center, Sleep Disorder Diagnostic · Bradenton, FL
NPI number1154566735
StatusActive
Last updated in NPPESJul 25, 2012
Details
- NPI
- 1154566735
- Entity type
- Organization (NPI-2)
- Legal business name
- Bja Incorporated
- Organization subpart
- No
- Enumeration date
- Dec 10, 2008
- Last updated
- Jul 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
Other names
- Comprehensive Sleep Disorder Center (Doing Business As)
Practice location
7005 Cortez Rd W101
Bradenton, FL 34210-2509
Phone 978-536-7400
Mailing address
200 Corporate PlSuite 5b
Peabody, MA 01960-3840
Phone 978-536-7400
Authorized official
Carl R Iberger
Cfo
9785367400
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