Organization Name: | HIGHLANDS SLEEP DIAGNOSTICS, INC. |
NPI Number: | 1013117118 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALBERT CECIL WOODS (OWNER) |
Mailing Address: | 1114 E Main St Lebanon |
State: | VA US |
Postal Code: | 242665014 |
Phone Number: | 2764159167 |
Fax Number: | 2764159168 |
NPI Enumeration Date: | 07/18/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | 30-=========F-001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |