Organization · NPI-2

Annapolis Sleep Center LLC

Clinic/Center, Sleep Disorder Diagnostic · Annapolis, MD

NPI number1780183947
StatusActive
Last updated in NPPESJun 26, 2018

Details

NPI
1780183947
Entity type
Organization (NPI-2)
Legal business name
Annapolis Sleep Center LLC
Organization subpart
No
Enumeration date
Feb 2, 2018
Last updated
Jun 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder DiagnosticD0035494MDYes

Practice location

2451 Riva Rd
Annapolis, MD 21401

Phone 410-266-1644 · Fax 410-266-1642

Mailing address

2000 Medical Pkwy Ste 607
Annapolis, MD 21401-3748

Phone 410-266-1644 · Fax 410-266-1642

Authorized official

Mary Beth Shaklee
Practice Administrator
4102661644

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