| Organization Name: | MERRIMACK VALLEY SLEEP CENTER PLLC |
| NPI Number: | 1043508799 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SRILATHA KODALI (MANAGER) |
| Mailing Address: | 49 Atwood Rd Ste 3 Pelham |
| State: | NH US |
| Postal Code: | 030763719 |
| Phone Number: | 6036357711 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2011 |
| NPI Last Update Date: | 10/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |