Organization · NPI-2

Advance Sleep Disorders Center, INC.

Clinic/Center, Sleep Disorder Diagnostic · Louisville, KY

NPI number1992713978
StatusActive
Last updated in NPPESAug 31, 2012

Details

NPI
1992713978
Entity type
Organization (NPI-2)
Legal business name
Advance Sleep Disorders Center, INC.
Organization subpart
No
Enumeration date
Aug 4, 2006
Last updated
Aug 31, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic730098KYYes
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––

Practice location

6420 Dutchmans Parkway
Suite 190
Louisville, KY 40205

Phone 502-895-0301 · Fax 502-895-0309

Mailing address

6420 Dutchmans Parkway
Suite 190
Louisville, KY 40205

Phone 502-895-0301 · Fax 502-895-0309

Authorized official

Robert Keesaer
General Manager
5028950301

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