Organization · NPI-2
Sleep Dx, LLC
Clinic/Center, Sleep Disorder Diagnostic · Brigham City, UT
NPI number1245404920
StatusActive
Last updated in NPPESNov 18, 2014
Details
- NPI
- 1245404920
- Entity type
- Organization (NPI-2)
- Legal business name
- Sleep Dx, LLC
- Organization subpart
- No
- Enumeration date
- Apr 14, 2008
- Last updated
- Nov 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – | |
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | 69676210160 | UT |
Practice location
515 W. Forest Street #b1Brigham City, UT 84302
Phone 435-723-0868 · Fax 435-723-0861
Mailing address
515 W. Forest Street #b1Brigham City, UT 84302
Phone 435-723-0868 · Fax 435-723-0861
Authorized official
Barbie Kay Molgard
Owner/Operator
4357230868
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