Organization Name: | DIAGNOSTIC SLEEP DISORDER |
NPI Number: | 1023043866 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMORY ROBINETTE (DOCTOR) |
Mailing Address: | 422 Main Street Wise |
State: | VA US |
Postal Code: | 24293 |
Phone Number: | 2763281006 |
Fax Number: | 2766288246 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 02/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | 0101031388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |