| Organization Name: | DIGITRACE CARE SERVICES |
| NPI Number: | 1023040854 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARL R IBERGER (CFO-EVP) |
| Mailing Address: | 200 Corporate Pl Suite 5b Peabody |
| State: | MA US |
| Postal Code: | 019603840 |
| Phone Number: | 9785367400 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |