Organization · NPI-2

1st Class Sleep Diagnostic Center INC

Clinic/Center, Sleep Disorder Diagnostic · Centreville, VA

NPI number1265518005
StatusActive
Last updated in NPPESMar 3, 2015

Details

NPI
1265518005
Entity type
Organization (NPI-2)
Legal business name
1st Class Sleep Diagnostic Center INC
Organization subpart
No
Enumeration date
Oct 27, 2006
Last updated
Mar 3, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic1234748VAYes
291U00000X Clinical Medical Laboratory107828VA

Practice location

14631 Lee Highway
Suite 401
Centreville, VA 20121-5835

Phone 703-385-9222 · Fax 703-385-0882

Mailing address

14631 Lee Highway
Suite 401
Centreville, VA 20121-5835

Phone 703-385-9222 · Fax 703-385-0882

Authorized official

Erika King
Auditor/Collector
5712813553

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