| Organization Name: | REST WELL SLEEP DIAGNOSTICS, LLC |
| NPI Number: | 1043305188 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL CHARLES CAMPBELL (OWNER) |
| Mailing Address: | 865 East Broad St. Monticello |
| State: | MS US |
| Postal Code: | 39654 |
| Phone Number: | 6015870422 |
| Fax Number: | 6015870423 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | 07101/11.1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |