Organization · NPI-2

Bowie Sleep & Wellness Diagnostics LLC

Clinic/Center, Sleep Disorder Diagnostic · Bowie, MD

NPI number1679767040
StatusActive
Last updated in NPPESAug 29, 2007

Details

NPI
1679767040
Entity type
Organization (NPI-2)
Legal business name
Bowie Sleep & Wellness Diagnostics LLC
Organization subpart
No
Enumeration date
Aug 29, 2007
Last updated
Aug 29, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes

Practice location

14999 Health Center Dr
Suite 201
Bowie, MD 20716-1074

Phone 301-262-8188

Mailing address

14999 Health Center Dr
Suite 201
Bowie, MD 20716-1074

Phone 301-262-8188

Authorized official

Diane Glisson
Practice Manager
3012628188

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