Organization · NPI-2

Digitrace Care Services INC

Clinic/Center, Sleep Disorder Diagnostic · Olney, MD

NPI number1891914396
StatusActive
Last updated in NPPESOct 15, 2009

Details

NPI
1891914396
Entity type
Organization (NPI-2)
Legal business name
Digitrace Care Services INC
Organization subpart
No
Enumeration date
Apr 24, 2007
Last updated
Oct 15, 2009

Taxonomy and licenses

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

Other names

  • Sleepmed INC (Doing Business As)

Practice location

3413 Olandwood Ct
# 103
Olney, MD 20832-1489

Phone 301-251-5905

Mailing address

200 Corporate Pl
Suite 5b
Peabody, MA 01960-3840

Phone 978-536-7400

Authorized official

Carl R Iberger
Evo-Cfo
9785367400

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