Sleep Lab Of Northeastern PA
Clinic/Center, Sleep Disorder Diagnostic in Clarks Summit, PA. Organization (NPI-2).
NPI number1679653109
StatusActive
Last updated in NPPESMar 4, 2008
Details
- NPI
- 1679653109
- Entity type
- Organization (NPI-2)
- Legal business name
- Sleep Lab Of Northeastern PA
- Organization subpart
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Mar 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
Practice location
231 Northern BlvdSuite 2
Clarks Summit, PA 18411-9189
Phone 570-585-6220 · Fax 570-585-6234
Mailing address
231 Northern BlvdSuite 2
Clarks Summit, PA 18411-9189
Phone 570-585-6220 · Fax 570-585-6234
Authorized official
David P. Washo
Administrative Director
5705856220
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